EARLY OUTCOMES OF PONSETI SERIAL CASTING IN TREATING IDIOPATHIC CLUBFOOT AT PAKISTAN INSTITUTE OF PROSTHETIC AND ORTHOTIC SCIENCES

Abstract

AIM: To evaluate early outcomes of Ponseti serial casting in treating clubfoot.
METHODS: A retrospective survey on 30 patient’s medical record files was conducted. Among these 30 patients 19 were male and 11 were female from 0-3 years of age. Early outcomes of Ponseti serial casting was determined by comparing the pretreatment and post treatment pirani score. Also, the effect of age, gender and positive family history on severity of clubfoot was determined.
RESULTS: The mean age of the cases with CTEV was estimated to be 1.26 ± 0.44. The male to female ratio calculated was 1.7:1. Age and severity of clubfoot has no significant relationship (p>0.36). Association of tenotomy and pretreatment score of the right foot was 0.246 and for the left foot it was 0.974. which showed no significant association between the pre treatment pirani score and tenotomy. Pre and post ponseti technique data was analyzed through t- test which gave significant value of p<0.00, this states that Ponseti serial casting is effective in treating clubfoot.
CONCLUSION: Ponseti serial casting is effective treatment for treating patients with clubfoot deformity. The progression of age on severity of clubfoot, Tenotomy on initial Pirani score and prevalence of gender on positive family history has no significant relation.