Objective: To analyse the Functional outcome of serial cast correction of congenital idiopathic club foot by using Ponseti method.
Background: One of the most common deformity in children is club foot. It is complex deformity difficult to manage. Ponseti method used in our department of orthopaedics in Raja Muthiah Medical College, Chidambaram (Government Cuddalore Medical College, Chidambaram. We Aim to analyse management of idiopathic club foot by using ponseti method.
Methods: 22 cases selected from CTEV clinic with clubfoot were studied in the Department of Orthopaedics, Rajah Muthiah Medical College and Hospital (Government Cuddalore Medical College) Chidambaram, from March 2021 to October 2022. Detailed history regarding age, sex, mode of delivery, address and others recorded. General examination carried to rule out any other congenital anomalies. Deformity scored according to pirani scoring system. Cast changed every week, case followed up for 1 year.
Results: In 1 year follow up by ponseti method we achieved 90% excellent result 9.67% good result and <1% poor result. 90% cases required percutaneous tenotomy 9% did not required tenotomy less than 1% need posteromedial soft tissue release.
Interpretation and Conclusions: Ponseti technique is simple, safe and economical treatment for idiopathic congenital talipes equinus varus, gives excellent functional and cosmetic results without major surgery.