Abstract

Introduction: Children’s foot disorders are frequent presentations to a range of health professionals and represent huge concern among the parents. Congenital talipesequinovarus (CTEV) also known as clubfoot, is one of the most common congenital bone deformities. While some cases are associated with neuromuscular disease, chromosomal abnormalities, different syndromes or extrinsic causes, others occur in otherwise normal infants and are classified as idiopathic congenital talipesequinovarus (CTEV).The purpose of this study was to report the short term outcome of effectiveness of the Ponseti method for the treatment of CTEV in a series of children with this anomaly.
Objective: To evaluate the outcome of Ponseti technique among idiopathic CTEV patients by using Pirani severity scoring system in tertiary care hospital, Secunderabad.
Materials and methods: This is an observational study which was conducted among 50 subjects with idiopathic CTEV in the Orthopaedic OPD at Gandhi hospital – Secunderabad over a period of 2 years from November 2018 till November 2020.
Results: The total number of feet in the complete study was 66.The mean age at presentation of the patients was 3.69 months. Male to female ratio was 2.5:1.The average number of casts applied was 7.01. Almost 21(42%)patients have been treated only with serial manipulation and casting. Rest 29(58%) patients required tenotomy for correction among which patients with initial pirani score of 5 and above had undergone more number of tenotomies compared to less than 5 piraniscore.The outcome was excellent in 87.87% of overall treated feet, good in 7.57% and Poor results in 4.54%.
Conclusion: This study confirms the effectiveness and good reproducibility of the Ponseti technique and found the Pirani scoring system to be practicable, easily measurable and helpful in the management of idiopathic clubfoot to attain functional, painless, plantigrade foot with good mobility and without callosities