EFFICACY OF PONSETI METHOD IN MANAGEMENT OF CLUBFOOT
Objective: To determine the efficacy of Ponseti technique in term of Pirani’s severity scoring in children with club foot.
Materials and Methods: This descriptive case series study was conducted in Orthopedics “B” Unit, Lady Reading
Hospital Peshawar, from March 2013 to September 2013. Sample size was determined from WHO software for sample
size. After approval from hospital ethical committee, patients were selected from OPD with diagnosis of congenital
clubfoot with age less than 9 months, using well defined criteria. Disease, management procedure, efficacy, possible
complications, period of treatment and follow up explained to the parents. Consent was taken and Ponseti method
was used in all patients. Patients were followed and outcome was assessed and analyzed.
Results: A total of 96 patients were study during this study period. Age ranged from 1st day of life to 9 months with
mean age was 4±2.31 months. Male 38(40%) to female 58(60%) ratio was 2:3. Bilateral clubfoot deformity was present
in 60% while 40% were with unilateral deformity. Efficacy was assessed with Pirani severity score, among these Pirani
severity score was effective in 82(85%) patients while Pirani severity score was not effective in 14(15%) patients.
Conclusion: Ponseti method is a safe and cost effective, satisfactory treatment for congenital idiopathic clubfoot w