The outcome of Ponseti technique for idiopathic clubfoot

Abstract

Aims and objectives: Idiopathic congenital talipes equinovarus is a complex deformity that is difficult to correct. The treatment of clubfoot is controversial and continues to be one of the biggest challenges in paediatric orthopaedics. Most orthopedists agree that the initial treatment should be non-surgical and should be started soon after birth.Methodology: 30 patients underwent the Ponseti method at the Department of Orthopaedics, and patients were followed up regularly at monthly intervals. The severity of foot deformities were graded as per Pirani’s scoring system.Results: Good results were obtained in 28 patients. 2 Patients developed recurrence of the deformity due to non-compliance of the use of Orthotics.Conclusion: The Ponseti method is a safe and cost effective treatment for congenital idiopathic clubfoot and radically decreases the need for extensive corrective surgery. Non-compliance with orthotics has been widely reported to be the main factor causing failure of the technique.