Treatment of clubfoot requires a detailed knowledge of the underlying
pathophysiology. We explain the concept that led us to propose our tec
hnique called functional treatment. It is centered on progressive mani
pulations to correct the different deformations step-by-step. These ma
nipulations are performed according to four stages; treatment is compl
eted by light splints, which are used between sessions. As this techni
que does not give a complete reduction of the foot, complementary surg
ical correction becomes necessary to complete the functional therapy.
Surgical correction follows the same principles as manipulations: each
residual deformity is corrected a la carte.