Role of Ponseti's Method of Treatment in CTEV

Sanjeev Sreen, Hari Om Aggarwal, Piyush Shukla, Deepak Vashisht, Nitish Kapil

Abstract: ABSRACT Aim To report 20 patients who underwent Ponseti method for the treatment of clubfoot deformity. Materials and methods Records of 40 cases of congenital clubfoot with 16 cases having bilateral deformity and 24 having unilateral deformity, were selected and serial casting and manipulation was done according to Ponseti method of treatment. The patients were followed up regularly for a period of 1 year and final outcome was graded as excellent, fair and poor according to the end treatment Pirani score. Results Of the total number of cases, 85.7 % our patients required percutaneous tenotomy after serial casting for full correction of deformity. Out of 56 feet 7 % went into relapse. Good or excellent results were achieved in 48 feet (85.71 %), fair result obtained in 4 (7.1 %) of feet and another 4 feet (7.1 %) went into relapse and were graded as poor outcome. Conclusion In our study, Ponseti method of treatment showed excellent results in satisfactory number of cases and it offers adequate and simple method of correction of congenital clubfoot without the use of major surgical procedures.

Keywords: Clubfoot, Ponseti method, serial casting, Congenital talipes equino varus