Abstract
The purpose of this study is to determine the predictive value of Pirani scoring system in the management of idiopathic club foot by Ponseti method.A total number of 50 feet in 30 patients of clubfoot were studied and rated according to Pirani scoring system prospectively at Guru Govind Singh Hospital, M.P.Shah Medical College, Jamnagar during the period of April 2005 to April 2008 by Ponseti method performed by a single surgeon. Tenotomies were performed in 31 of 50 feet (62%). Out of 20 feet with a Pirani score greater that or equal to 5.0 at initial presentation, 90% required tenotomy. The mean number of the casts required was significantly greater (range 6-9 casts) for tenotomy group than that of the non-tenotomy group (range 4-6 casts). Following the removal of the final cast, no significant differences were found between the tenotomy and non tenotomy group with reference to Pirani score system.
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