Orthotic management of talipes equinovarus in newborns using the Newborn Dynamic Torsion KAFO to reproduce the sequential progression of Ponseti casting

This paper will present a simple, low cost orthotic device designed to be used in underserved areas of the world that is capable of achieving the sequential correction of clubfoot in the newborn that is currently managed almost universally utilizing Ponseti casting. Despite the widely acknowledged efficacy of the serial casting developed by Dr. Ponseti in the 1950s, there are circumstances where applying the technique is problematic. In many underserved areas, the utility of the technique is compromised by limited access to sophisticated orthopedic care, economics, geography and hygiene issues making it impractical for many infants despite widespread efforts to promulgate the technique.