Outcome of Ponseti technique for idiopathic clubfoot using Pirani scoring system

Objectives: to determine the outcome of ponseti technique for idiopathic clubfoot. material and methods: this descriptive cross sectional study was carried out at department of orthopedic,khyber teaching hospital peshawar,from sept 2009 to sept 2010 recruiting70 patients with club foot deformity. patients were scored according to pirani scoring system and then ponseti protocol of manipulation and casting was followed. each cast remained for 7 days. on each visit with the removal of cast,improvement in pirani score was noted followed by manipulation and casting. data was entered in software spss version 10.0. results: a total of 70 patients with clubfeet were included in the study. forty three(61.4%) were male while 27(38.6%) were female. twenty-seven (38.6%) were bilateral while 43(61.4%) had unilateral clubfoot. twenty-six (37.1%) were right sided while 17(24.3%) were left sided. sixty three(90%) cases were fully corrected by ponseti method as evaluated by pirani scoring system while 7(10%) cases could not achieve full correction. conclusion: patients with idiopathic clubfoot can be successfully treated in children from birth to 8 months of age by ponseti technique of serial casting. © 2008 khyber medical college peshawar.