5 Differences between Ponseti and Kite’s Techique

Ponseti and Kite’s Techique are two different types of maneuvers for manipulating the deformities in CTEV.

Ponseti Technique is a brainchild of the lifetime of work by Dr. Ignacio Ponseti. On the other hand, Kite’s technique is by Dr. JH Kite.

5 differences between Ponseti and Kite’s technique.

Ponseti Technique

In a child with CTEV, this technique gives best results when initiated within 2 weeks of birth. I will enumerate other steps below

1. Consists of two phases – treatment and maintenance
2. The sequence is in the order of cavus — > varus –> adduction — > equinus
3. Lateral Talar head is the fulcrum for manipulation.
4. Long leg casting
5. 6-7 times casting in total for correction

Kite’s Technique

1. This technique is to be started as soon as after birth
2. Sequence of correction is adduction — > varus — > equinus. Pronation of first metatarsal is done which is not done in Ponseti.
3. Calcaneocuboid joint is the fulcrum for manipulation.
4. Below knee casting
5. Requires numerous sessions and is costly and lengthy.

Table : Differences between Ponseti and Kite’s Techique

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