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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study of Outcomes of Ponseti Technique Using Pirani Scoring System in Children with Idiopathic Cub‐Foot

Ojas Devendra Shah, Rahul Ramdas Mulkod, Sumit Ramdasrao Alaspure and Vikas Raghunath Rokade
Page: 99-106 | Received 21 Nov 2023, Published online: 18 Dec 2023

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https://doi.org/10.36478/10.59218/makrjms.2024.2.99.106

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Abstract

Club‐foot is one of the most common congenital deformities affecting 1 infant in every 1000 births. There is nearly universal agreement that the initial treatment of the club foot should be non‐operative regardless of the severity of the deformity. Present study was aimed to study outcomes of Ponseti technique using Pirani scoring system in children with idiopathic clubfoot. Present study was single‐center, prospective, observational study, conducted in pediatric patients, under two years of age, newly diagnosed with idiopathic club foot of any grade, underwent Ponseti technique and Tendoachilles tenotomy. In present study, 28 patients with 36 affected feet were followed up throughout the study period. Male to female ratio was 1.8:1.0. Mean of total number of casts applied for 36 foot to completing the study was 7.97. The average number of total casts requirement increased according to age. The average number of total casts requirement increased according to Pirani severity scores. Tenotomy was done to 83.33% (30) feet and cast correction was done for 16.67% (6) feet (table 21, chart 10). The equinus of 0‐6 month and 6‐12 month age groups were corrected by both tenotomy and casting and not in the higher age group. Pirani severity score ranging 3.5‐4.5 was the most common score among foot counting 24. Both the methods of equinus correction are almost equal in low scores but correction by cast decreases as the score increases. Ponseti method of clubfoot treatment gave excellent results, with low cost and with minimum surgical intervention (percutaneous tenotomy),that too if needed.

How to cite this article:

Ojas Devendra Shah, Rahul Ramdas Mulkod, Sumit Ramdasrao Alaspure and Vikas Raghunath Rokade. Study of Outcomes of Ponseti Technique Using Pirani Scoring System in Children with Idiopathic Cub‐Foot.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.99.106
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.99.106