The so-called gold standard in treatment is the Ponseti method. The success rate of the method is >90%. The Ponseti method is initially a series of casts inserted in such a way as to reverse the deformity gradually. During the last of the casts usually (80-90%) an Achilles tenotomy is performed. In order for the treatment to have a good result, a 3-year treatment follows with bar shoes that maintain the correction.

The child gets a functional leg, without pain, without limitation in its activities.A thin gastrocnemius remains on the side of the treated leg, the child's little foot is a little smaller than the healthy one (1-2 sizes usually).

Likelihood of recurrence:
It is always present because there is a genetic predisposition to the disease. In the remaining <10% of cases, a transfer of the anterior tibial tendon is performed to help correct residual deformity. We almost always try and now succeed in avoiding past surgeries with disappointing results in terms of correction but mostly mobility and future complications.