Treatment of club foot with serial casting by ponsetti technique.


  • Hafiz Salman Saeed Independent Medical College, Faisalabad.
  • Basharat Manzoor FMU Faisalabad.
  • M. Usman Sarwar Shalamar Medical & Dental College, Lahore.
  • Nusrat Rasheed
  • Imran Manzoor Shalamar Medical & Dental College, Lahore.
  • Muhammad Omer Imran Elahi United Medical & Dental College. Karachi.



Congenital Club Foot, Manipulation and Serial Casting, Ponseti Technique, Pirani Scoring System


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: 1st July, 2019 to 30th 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.

Author Biographies

Hafiz Salman Saeed, Independent Medical College, Faisalabad.

MBBS, FCPS (Orth), FRCS (Glasgow), FACS (USA), Associate Professor Orthopedic, 

Basharat Manzoor, FMU Faisalabad.

MBBS, MS (Orth), Assistant Professor Orthopedic, 

M. Usman Sarwar, Shalamar Medical & Dental College, Lahore.

MBBS, FCPS (Orth), Assistant Professor Orthopedic, 

Nusrat Rasheed

MBBS, FCPS Associate Professor Orthopedic Surgery, 

Imran Manzoor, Shalamar Medical & Dental College, Lahore.

MBBS, FCPS, Assistant Professor Orthopedic, 

Muhammad Omer Imran Elahi, United Medical & Dental College. Karachi.

4th Year MBBS Student,