Effectiveness of Ponseti Technique In The Management of Idiopathic Clubfoot Deformity At Tertiary Care Hospital (A Descriptive Case study)

Congenital Clubfoot is one of the most common congenital birth defect.The Deformity in the Clubfoot is combination of adductus, cavusand equinus.The Ponseti method is at present a well established method for management of idiopathic clubfoot deformities.We here report our experience with the ponseti method of casting in the treatment of congenital clubfoot.We had treated 68 clubfeet in 50 childrenby this Ponseti technique between August 2018 and August 2020 in the department of Orthopaedics at Rajindra Hospital, Patiala.Protocol described by ponseti was used and percutaneous tenotomy of tendoachillis was done wherever required.The Pirani score was used for assessment of the deformity and the mean follow up time was 15 months (6 to 30). Materials and Methods :Between August 2018 and August 2020 , 50 children with 68 clubfeet were treated by ponseti method at our institution .Severity of the deformity was assessed clinically by Pirani Score and were treated by ponsetiprotocol.Percutaneous tenotomy of tendoachillis was done wherever required. Results :InPresentstudyof68feet (50cases;18bilateraland32unilateral) goodorexcellentresults were achieved in 46 feet (67.64%),Fair results in 15 (22.05%) feet and another 7 feet (10.29%) had poor result.The final results were graded as Good, if the Pirani score remained zero; fair with the score one or less (midfoot and hindfoot score) and poor having score more than one.Conclusion-Our initial experience with the use of ponseti method suggests that it is a simple, cheap and effective method of treating congenital idiopathic club foot.Percutaneous tenotomy was required in most of the cases for the treatment of the equinus component of the deformity.