Attique Rehman Qureshi, Saleem Bashir Warriach.
Evaluation of Ponseti Method for Management of Idiopathic Clubfoot in Toddlers.
Pak J Med Health Sci Jan ;7(3):730-2.

Aim: To evaluate the efficacy of ponseti method for treatment of idiopathic clubfoot by correction of all deformities in toddlers in terms of percentage of excellent Pirani score <1. Study design: It was a Multi-Centre descriptive case series study. Duration: From 30th April 2010 to 30th April 2012. Settings: Department of Orthopaedic Surgery, DHQ Hospital, Bhakkar, Jinnah Hospital Lahore. Methods: A total of fifty (50) patients coming to the Outpatient department of either gender from one to three years of age with Idiopathic clubfoot of moderate to severe deformity according to pirani socre (i.e. 3 to 6). The final outcome was recorded at the time of removal of final cast after 3 weeks, and final Pirani score was documented to assess the success of treatment. Results: The results of the study reveal that most of the patients i.e. 48%(n=24) had 2 years of age, mean and sd was calculated as 1.64+0.76 years, 58%(n=29) male and 42%(n=21) females, mean and of Pirani Score was 1.31+0.43 years, frequency of efficacy of Ponseti method for treatment of idiopathic clubfoot by correction of all deformities in toddlers in terms of percentage of excellent Pirani score reveals in 68%(n=34) while 32%(n=16) had no findings of efficacy. Conclusion: We concluded a considerable efficacy of ponseti method for treatment of idiopathic clubfoot by correction of all deformities in toddlers in terms of percentage of excellent Pirani score <1 even upto 3 years of age.

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