OUTCOME OF PONSETI TECHNIQUE FOR IDIOPATHIC CLUBFOOT USING PIRANI SCORING SYSTEM
Keywords:
Congenital, Talipes equinovarus, Ponseti technique, Pirani scoringAbstract
Objectives: To determine the outcome of Ponseti technique for Idiopathic Clubfoot.
Material and Methods: This descriptive cross sectional study was carried out at Department of Orthopedic, Khyber
Teaching Hospital Peshawar, from Sept 2009 to sept 2010 recruiting70 patients with club foot deformity. Patients were
scored according to Pirani scoring system and then Ponseti protocol of manipulation and casting was followed. Each
cast remained for 7 days. On each visit with the removal of cast, improvement in Pirani score was noted followed by
manipulation and casting. Data was entered in software SPSS version 10.0.
Results: A total of 70 patients with clubfeet were included in the study. Forty three(61.4%) were male while 27(38.6%)
were female. Twenty-seven (38.6%) were bilateral while 43(61.4%) had unilateral clubfoot. Twenty-six (37.1%) were
right sided while 17(24.3%) were left sided. Sixty three(90%) cases were fully corrected by Ponseti method as
evaluated by Pirani scoring system while 7(10%) cases could not achieve full correction.
Conclusion: Patients with Idiopathic Clubfoot can be successfully treated in children from birth to 8 months of age by
Ponseti technique of serial casting.
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