Abstract: Background: CTEV (Clubfoot) is the most common congenital orthopaedic condition of lower limb and being treated worldwide by the Ponseti method. The treatment is started as soon as possible after birth. Still many children come to clinics at relatively higher age. The aim of the study is to compare the effectiveness in terms of outcome of Ponseti method of clubfoot management in infants and children of more than 1 year of age (1 year to 2 years).
Methods: It is a prospective, non-randomised follow-up study conducted on outpatient basis at Department of orthopaedics, Bokaro General Hospital during the period of March 2016- September 2017. The method used for the management was serial manipulation and long leg plaster of Paris casting after getting the Pirani score at every visit.
Results: A total of 40 children (20 infants and 20 children more than 1 year) with idiopathic clubfoot were selected and treated with Ponseti method. Patients from both the groups showed a significant decrease in the mean Pirani score.
Conclusion: Ponseti method in management of clubfoot in older children (1-2 years) gives a good result which is comparable with infants.
