Indian Journal of Orthopaedics

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

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


Atul Bhaskar, Shraddha Rasal 
 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

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.


How to cite this article:
Bhaskar A, Rasal S. Results of treatment of clubfoot by Ponseti's technique in 40 cases : Pitfalls and problems in the Indian scenario.Indian J Orthop 2006;40:196-199


How to cite this URL:
Bhaskar A, Rasal S. Results of treatment of clubfoot by Ponseti's technique in 40 cases : Pitfalls and problems in the Indian scenario. Indian J Orthop [serial online] 2006 [cited 2019 Sep 22 ];40:196-199
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2006;volume=40;issue=3;spage=196;epage=199;aulast=Bhaskar;type=0