Dr. Nirmal Debbarma, Dr. Ajit Tudu, Dr. Bhupes Sil, Dr. Tapan Kumar Das
Abstract: BAKGROUND: The Congenital Talipes Equino Varus (CTEV) or Clubfoot is a common congenital deformity of the foot. The incidence of Clubfoot is 1 per 1, 000 live births with approximately 50 % having bilateral. The ratio of male and female is 2.5: 1. In unilateral cases, there was a right sided predominance. The real cause of Congenital Talipes Equino Varus is still unknown. The aim of treatment is to obtain anatomically and functionally normal feet. Clubfoot has been treated by serial manipulation and plaster casts. The disadvantages of surgery are high complication and recurrence. AIM: The aim of this study is to evaluate the results of Ponseti technique in the management of Clubfoot. OBJECTIVES: The objective is to identify the cases of Club foot & to assess the deformity correction by Pirani scoring system. PLACE AND DURATION: Study were done in Orthopaedics OPD at Agartala Government Medical College & GBP Hospital Between December 2014 to June 2016. MATERIAL & METHODS: Between December 2014 to June 2016, total 63 cases of Clubfoot of age upto 1 (One year) were enrolled in Orthopaedics OPD at Agartala Government Medical College & GBP Hospital. Among these, 3 cases were syndromic and excluded. Others 7 cases were drop out during the period of treatment could not be followed up. RESULTS: In our study Ponseti method proved successful, with all the children achieving an excellent outcome when evaluated by Pirani scoring system. CONCLUSION: Ponseti method is effective in correction of idiopathic clubfoot in children up to 12 months of age.
Keywords: Club Foot, 50 % Bilateral, Pirani Scoring System, Ponseti Method Serial Manipulation, Plaster Cast