Management of congenital idiopathic club foot with Ponseti technique at GMMMC Sukkur

Objective: to assess the out come of the management of congenital idiopathic club foot with ponseti technique by using the pirani scoring system. patients and methods: this prospective study was conducted at department of orthopaedic ghulam muhammad mahar medical college (gmmmc) sukkur from april 2011 to march 2012. a total number of 50 cases with 79 feet of congenital idiopathic clubfoot up to the age of one year of either sex were included in this study. results: the correction was obtained in 47 (94%) cases but three infants required pmr. average number of casts applied was 5.7 (range: 4-8),average time for full correction was 10 weeks (range: 4-12 weeks),percutaneous achilles tenotomy was required in 84% of cases. mean comparison of pirani score was significantly decreased at final stage. conclusion: the ponseti method is a safe and effective treatment for the management of congenital idiopathic club foot,that pmr surgery is no longer necessary for the majority of congenital idiopathic clubfeet.