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FOOT
Year : 2006  |  Volume : 40  |  Issue : 3  |  Page : 196-199

Results of treatment of clubfoot by Ponseti's technique in 40 cases : Pitfalls and problems in the Indian scenario


KJ Somaiya Medical College & Research Hospital, Mumbai, India

Correspondence Address:
Atul Bhaskar
Apt 403, Bldg No 18, MHADA complex, Oshiwara, Andheri, Mumbai 4000 053
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.34493

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Background : Though described long back, there has been a renewed interest towards Ponseti method of conservative treatment of clubfoot recently. Methods : Forty children with idiopathic clubfeet were treated by Ponseti technique. The median age at presentation was 9 days. Twenty-six children with bilateral and 12 children with unilateral clubfeet were graded by the Pirani method at the commencement of treatment and then at the final follow-up. Feet were graded as excellent if the Pirani score was zero, fair, if the sum of mid-foot and hind-foot score was one or less and poor, if the score was more than one. Thirty four children need a heel cord tenotomy and all children received conventional ankle-foot orthosis (AFO) and foot-abduction orthosis (FAO) to maintain correction. Results : Twenty-eight children had excellent correction, four had a fair outcome and eight cases had relapse in their deformity. Poor splint compliance and fitting along with incomplete correction of the deformity were identified as the chief causes leading to a poor result. Conclusion : A strict protocol and parent education can improve the outcome for all cases with the Ponseti technique. Key-words: Clubfoot; Congenital talipes equinovarus; Ponseti technique.


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