OUR EXPERIENCE WITH PONSETI TECHNIQUE IN IDIOPATHIC VIRGIN CLUBFOOT OF CHILDREN BELOW 2 YEARS OF AGE

Abstract: The Ponseti technique is a well-known and technically easy way of managing paediatric clubfoot deformity with fantastic results. It doesn’t have foot stiffness and persistent pain which are common with surgical management. PATIENTS AND METHODS In our study we performed Ponseti casting on 34 CTEV patients and 2 lost in follow up and 4 are failures. Patients are followed up prospectively for 6months and correction of deformity compared with Pirani scoring. RESULTS The mean age at initiation of treatment for 32 patients (37 feet) was 192 days (range 4 days to 2 years). The mean initial Pirani severity score for 37 feet was 4.30 (out of maximum possible score of six). After full correction by Ponseti technique (with or without percutaneous tenotomy) the final mean score was found to be 0.17 and the mean change in score was found to be 4.13. This was analysed by the paired t- test and the p value was< 0.005 which is significant. CONCLUSIONS Early treatment of Idiopathic CTEV by Ponseti technique results in good correction of the deformity with minimal need for surgery and percutaneous tenotomy of tendo Achilles is required in considerable number of cases to achieve good correction. Parent compliance plays an important role in maintenance of the deformity correction and it is definitely an effective and affordable technique. Keywords: Clubfoot-Foot deformities -Ponseti technique-Results. Title: OUR EXPERIENCE WITH PONSETI TECHNIQUE IN IDIOPATHIC VIRGIN CLUBFOOT OF CHILDREN BELOW 2 YEARS OF AGE Author: Dr. Danduru Vasudeva Reddy International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

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