A paradigm shift in the Danish treatment of congenital clubfoot.

In the last decade the clubfoot treatment in Denmark has changed dramatically. The Ponseti treatment has now largely replaced the extensive surgical release which was a part of the Copenhagen method. An overview over aetiology, morphology and current and past treatment protocols is given. Even though there is no clinical evidence that the Ponseti method is superior to the Copenhagen method, the former method is the primary treatment as it has less extensive surgery and similar correction rates. Less extensive surgery leads to more flexible and functional feet.