Fig. 2A–D.

A patient with a clubfoot on the left is shown before and after Ponseti treatment. (A) This 4-year-old girl has had her first cast applied. Note the position of the patella and the large callus over the lateral aspect of her calcaneus. (B) During the casting phase, her foot was progressively abducted. (C) Her last long leg cast is shown. (D) She is now able to walk with a plantigrade foot. We initially recommended wearing high top, reverse last shoes for several months after casting, but have since abandoned this practice.