Treatment of idiopathic clubfoot by ponseti method

Abstract

Background: Club foot is one of the most common congenital birth defects, with approximate incidence of 1 in 1000 live births. It is one of the unsolved clinical challenge for the orthopedic surgeons. The results of Ponseti treatment have been encouraging. There have been many reports of successful treatment of idiopathic clubfoot with Ponseti method in the western world, but there are only few studies done in the developing country like India. So the present study was undertaken with the following objective. Objective: To evaluate the efficacy of Ponseti method in the treatment of idiopathic clubfoot A prospective study was done among all the patients below 1 year of age with Idiopathic Clubfoot presenting to AIIMS Raipur from August 2015 to December 2016 who were treated by Ponseti method. Twenty feets [mean Pirani score (total) 5.6] in 13 children were treated by the Ponseti method. A prospective follow-up for a mean duration of 6 months (range 6–30 months) was undertaken. Evaluation of the deformity by Pirani score was performed, before and after the treatment and the results were assessed.

Keywords

• idiopathic clubfoot
• pirani score
• ponseti method
• tenotomy