To study the effectiveness of Ponseti method of casting for idiopathic clubfoot-a five year experience from BPKIHS

摘要

To study the effectiveness of Ponseti method of casting for idiopathic clubfoot-a five year experience from BPKIHS. [Purpose] We have conducted this study to find out the effectiveness of Ponseti method to our patient population. [Study Design] We had conducted retrospective study of the clubfoot patients who had attended our orthopedic unit and had undergone Ponseti method of manipulation and casting for last five years. 168 patients attended our hospital at that period. Thirty four patients were excluded from the study. Data were analysed using demographic variables, initial and final Pirani scores, no. of cast, tenotomy, recast application, compliance with brace, parent satisfaction and final angle of dorsiflexion. [Results] Among 134 patients, male were predominant over female. About 44.8% patients had bilateral involvement and among unilateral involvement right side was more in number. Initial mean Pirani score was 5.09+- .61. Mean 5.88+-2.23 casts were used and 88.1% patient had undergone percutaneous tendoachilles tenotomy. 6.7% patient had recurrence of deformity, reapplication of cast and retenotomy. 4.5% patient had posteromedial soft tissue release. Follow up was 2 months to 5 years duration and at last follow up final dorsiflexion was 9.04 degrees. 6% children were non compliant to braces and 96.3% parents were satisfied to treatment method. [Conclusions] Ponseti method has avoided surgeries in more than 90% of our patients.