Serial Corrective Cast Manipulation in Idiopathic Club Foot by Ponseti Method. (A Study of 70 Feet with 3 Year Follow Up)

Abstract

A total number of 70 feet in 50 patients of clubfoot were studied prospectively in Guru Govind Singh Hospital, M.P.Shah Medical College, Jamnagar during period of April 2004 to April 2008. The patients’ characteristics at the time of presentation, such as the severity of the initial club foot deformity measured by Pirani Severity Score System, age at the initiation of the treatment, total duration of the treatment, the details of tenotomy, Denis-Browne Splint and CTEV Shoes were studied in relation to the recurrence of the deformity. Parents of 42 infants (84%) were feeling discomfort with the use of the orthosis but when explained properly they co-operate. The outcome has no relation with the severity of the deformity, but the younger the age the less the number of the casts are needed. Total duration of the treatment is about 2 months and we found nearly normal range of the motion at 3 yr follow up. Parents of 46 patients (92%) accept the look of the foot nearly normal or normal. A total number of 70 feet in 50 patients of clubfoot were studied prospectively in Guru Govind Singh Hospital, M.P.Shah Medical College, Jamnagar during period of April 2004 to April 2008. The patients’ characteristics at the time of presentation, such as the severity of the initial club foot deformity measured by Pirani Severity Score System, age at the initiation of the treatment, total duration of the treatment, the details of tenotomy, Denis-Browne Splint and CTEV Shoes were studied in relation to the recurrence of the deformity. Parents of 42 infants (84%) were feeling discomfort with the use of the orthosis but when explained properly they co-operate. The outcome has no relation with the severity of the deformity, but the younger the age the less the number of the casts are needed. Total duration of the treatment is about 2 months and we found nearly normal range of the motion at 3 yr follow up. Parents of 46 patients (92%) accept the look of the foot nearly normal or normal.