Treatment Success with the Ponseti Technique in Congenital Talipes Equino Varusup to two Years of Age.

Original Article

Abstract

Background: Congenital talipes equinovarus (CTEV) is a severe foot birth disorder that may make walking difficult and painful and limit mobility. Seventy-five per cent of clubfoot infants are born in low- and middle-income countries. Clubfoot has long been treated. As orthopaedists gravitated toward surgery to treat clubfoot in neonates, non-operative treatment became less popular.

Objective: The study examined how the Ponseti technique works, how bad the deformity is (as measured by the Pirani score), and how much it costs to treat congenital talipes equino Varus in babies under the age of two. The Ponseti Clinic treated 490 individuals with 456 CTEV-infected foot cases.

 Study design: A prospective study

Place of duration of study: department of orthopedic Saidu Teaching Hospital swat  between 05 Jan 2017 and 05 jan 2021

Material And Methods: this prospective clinical study was conducted in Swat's Saidu Teaching Hospital between 2017 and 2021. 456 patients were selected using the inclusion and exclusion criteria department of orthopaedic saidu teaching hospital swat concluded this study. The youngsters were 3.20 months old on average, and they needed 6.80 casts to improve. At the final follow-up, 90.20 per cent of patients (score > 24) had positive functional outcomes. The Ponseti method for clubfoot treatment may prove most beneficial regarding both functionality and aesthetics. This approach still remains a safe, simple and costeffective way to deal with clubfoot in places such as Pakistan.

 Results: our finding  ninety percent of patients had a positive prognosis after starting treatment at 3 months of age, which took about seven casts altogether correct their feet.The research has suggested that the Ponseti method is both cheap and effective treatment for congenital talipes equinovarus in babies under 2 years .

Conclusion: this study shows is that the Ponseti technique is not only fine but economical way to deal with clubfoot in infants under two years of age. The method kept plain and safe while also demonstrating a very high success rate.Now the findings of this particular study suggest that the Ponseti technique provides an excellent option for managing clubfoot in underdeveloped countries, such as Pakistan

Keywords: Congenital talipes equinovarus, Ponseti method, Pirani Score, orthopaedics, treatment, clubfoot.