Evaluation of outcome in idiopathic clubfoot managed by accelerated ponseti method

Author(s): Hemeshwer Harshwardhan and Sunil Kumar

Abstract: Background: Clubfoot deformity is among the commonest congenital anomaly. It's incidence 2 per 1000 live births per year. Its incidence is more in developing nations. Males to female ratio is about 2:1. In this study the efficacy of accelerated ponseti method in management of CTEV and effect of initial pirani scoring on final outcome were assessed.
Methods: This prospective study was completed during September 2015 to September 2017 in JLN medical College Ajmer and the cases were selected on OPD basis. Total 26 patients with 34 clubfoot include in our study. Our treatment was by accelerated ponseti technique (every fifth day casting).
Results: Average number of caste applied was 6.41. Average number of cost increases with increase in Age and pirani severity score. 80% of patient has no deformity at time of follow up. The P value calculated by Paired‘t’ test shows highly significance of treatment (p<0.0005). 17.41% has statistically residual deformity (minor forefoot adduction).The failure was 2.86%.
Conclusions: Accelerated ponseti technique of treatment for clubfoot deformity is very effective and produces painless mobile flexible plantigrade and cosmetically acceptable foot without need of any major surgical intervention in very short duration.

DOI: https://doi.org/10.22271/ortho.2018.v4.i2c.28