Ponseti Treatment

Little Kossi was born with Clubfoot. This condition causes the foot to grow inward, retarding normal growth and leaving the side of the foot where the bottom should be - crippling the child.

In many African cultures, this abnormality is viewed as a curse and makes a child an outcast. But Kossi's mother, Akouwa, took action to prevent that. She brought the 10-month-old baby to a Mercy Ships screening in Togo. He became the first patient in West Africa to take part in the Ponseti Management Programme, now being established onboard the Africa Mercy.

The Ponseti technique, developed by Dr. Ignacio Ponseti over fifty years ago, is a series of casts that manipulate the foot gently into a more normal position. It requires only minor surgery to lengthen the Achilles tendon as the child grows. The child may need to wear some type of foot brace. The entire process requires 20 visits over four years. Kossi had both legs cast and manipulated and will be recast in three weeks.

The Mercy Ships Ponseti team, under the direction of Dr. James McDaniel, includes Dr. Frank Haydon and Dr. Gary Douglas. Dr. McDaniel enthusiastically describes the programme: "It's the gold standard that has been used all over the world. But, unfortunately, all over the world does not include West Africa. “

“So, we are starting this programme in Togo - with the hope that one of the other groups will help to keep the programme going. We will supply the cast materials and all the supplies for the six months we are here. We hope to manage at least 60 to 70 crippled children on this programme. It will be taught, and they can teach it to others. So, we are delighted to be able to offer this opportunity to the children of West Africa."