Zulfiqar A Soomro, Zamir A Soomro, Saeed A Samo.
Management of Congenital Idiopathic Club Foot with Ponseti Technique at GMMMC Sukkur.
Pak J Med Health Sci Jan ;7(1):104-7.

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.

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