Clubfoot treatment in older children
New resource added to the site today and last in our series by Dr Norgrove Penny: Clubfoot treatment in the older child. Reference is made to the latest scientific evidence about using the Ponseti method in older children and the article gives advice and tips about how the treatment may have to be modified in children above walking age. Dr Penny also gives advice on surgical treatments should the Ponseti method not be adequate for the older child.
Download the document here:
http://globalclubfoot.org/wp-content/uploads/downloads/2011/11/Clubfoot-treatment-older-children.pdf
Don’t miss out on the other great resources in this series, all of which can be found on our resources page: http://globalclubfoot.org/resources/. These include papers on:
- Tarsal kinematics
- World Health Organisation and clubfoot
- Long term follow up evaluation of the Ponseti technique.
Read more about treatment of neglected clubfoot in Dr Penny’s article on surgical management for clubfoot, also available through our resources page.

Older child treated for clubfoot in Malawi.
India Update: Jharkhand State clubfoot programme inaugurated and Maharashtra state agreement signed
Jharkhand
Jharkhand is a state in the North-Eastern part of India, and on the 15th of November the Jharkhand state-wide clubfoot programme was inaugurated. A five year partnership agreement between CURE Clubfoot Jharkhand and the Ministry of Health was signed. The partnership will be a great boost for clubfoot treatment services using the Ponseti method in the region.

Agreeing the private public partnership for CURE Clubfoot and Jharkhand state
The state-wide clubfoot programme was inaugurated at an event celebrating the 12th Anniversary of the Jharkhand State Formation in the capital, Ranchi. The state Governor unveiled posters which will be rolled out to raise awareness of the clubfoot deformity and the Chief Minister of health released parent education and counselling posters. The celebrations on the day included a cultural programme with thousands of school children and volunteers participating to make the day a great celebration.

Clubfoot and Ponseti treatment public awareness campaign

Parent and counsellor clubfoot brochures

Jharkhand celebrations
Jharkhand state has a population of 33 million and more than 1000 new cases of clubfoot per year.
Maharashtra
In Maharashtra CURE Clubfoot Maharashtra were to sign a partnership agreement for a state-wide clubfoot programme with the state government on the 18th November 2011. CURE Clubfoot and miraclefeet work in partnership in Maharashtra state which has a population of 113 million and an estimated 2400 babies born with clubfoot each year.
These new partnership agreements mean that CURE Clubfoot India now has an official presence in 7 Indian states. Congratulations to CURE Clubfoot India, miraclefeet, the Indian and state Ministries of Health and your partners for all the great work you are doing.
Population statistics estimated using data from the India 2011 census and a clubfoot incidence rate of 1.2/1000 births.
Steenbeek Foot Abduction Brace fabrication training, Vellore, India
| November 28, 2011 | to | December 2, 2011 |
In the week from the 28th November 2011, Michiel Steenbeek, inventor of the Steenbeek Foot Abduction brace (SFAB) will hold a training in how to make the braces in Vellore, India.

Child in Steenbeek Foot Abduction Brace, Bangladesh
Michiel Steenbeek developed the brace when working in Uganda as a physiotherapist. The brace is designed to be made from low-cost materials which are readily available all over the world. In common with other braces to be used in the maintenance phase of the Ponseti technique the brace holds the feet in a position of abduction and dorsiflexion in order to avoid relapse of the clubfoot.
To find out more about bracing in the Ponseti technique read our page on bracing here, or for additional resources on SFAB fabrication go to our ‘Resources’ page.



