Treatment of club foot with serial casting by ponsetti technique.

Abstract

Objective: To determine efficacy of serial casting of ponseti technique for treating club foot. Study Design: Cross Sectional study. Setting: Department of Orthopedics Surgery, Independent Medical College & University Hospital, Faisalabad. Period: 1^st July, 2019 to 30^th June, 2020. Material & Methods: All clubfoot patients who presented to the Orthopedics department were included in the study. Patients were first classified using the Pirani scoring system, followed by manipulation and weekly above-knee casts. Equinus was assessed after 4th to 6th cast and percutaneous cast was re-applied if required. Follow-up of patients were kept for 5 months after final cast removal. All the data was entered and analyzed in SPSS Version 25. Results: Mean age of the patients was 37 weeks. From total 41 patients, 27 children presented between age of 0-6 months, 5 between 6 to 12 months and 9 between 1-2 years. Among the 41 children, 25 had unilateral while 16 had bilateral involvement. Among 41 children, 26 were male and 15 were females. Mean casts needed in our study was 6.29±0.93. By using, the 10- point Pirani scoring system, the mean Pirani score was 3.46±0.515 at baseline while mean Pirani score after treatment was 0.0317±0.130. The results were excellent in 82%, good in 12% and fair in 4%. Conclusion: Ponseti is reliable and effective method. Results of our study are good and satisfying and all clubfeet in our institution can be treated with this procedure.