Early Response of the Ponseti Method for the Treatment of Idiopathic Congenital Clubfoot

Abstract

Objective: The objective of this study is to assess the early response of the Ponseti method for the treatment of idiopathic congenital clubfoot by using the Pirani scoring system.

Study Design: Prospective study.

Place and Duration of Study: At the Department of Orthopaedic Surgery Peoples University of Medical & Health Sciences (PUMHS) Nawabshah from JAN 2011 to DEC 2011 (ONE YEAR).

Materials and Methods: Total numbers of 50 cases with 79 feet of idiopathic congenital clubfoot up to the age of one year of either sex were included in this study.

Results: The correction was obtained in 47 (94%) cases but three infants required Posteromedial release (PMR) operation. Average number of casts applied was 5.7 (range: 4-8), average time for full correction was 10 weeks (range: 4-12 weeks), percutaneous Achilles tenotomy was required in 84% of cases. Mean comparison of Pirani score was significantly decreased at final stage.

Conclusion: The Ponseti method is a safe and effective treatment, that PMR surgery is no longer necessary for the majority of idiopathic congenital clubfeet.