Early Experience with Ponseti Technique in the Management of Congenital Idiopathic Talipes Equino Varus (CTEV) in Children Less Than 1 Year of Age

Abstract

Objective: the objective of this study is to evaluate the early results of Ponseti Technique in the management of congenital idiopathic talipes equino varus. 

Methods: This prospective study was carried in the Department of Orthopedics and Trauma, Khyber teaching Hospital, Peshawar from July 2013 to July 2014. Ninety (90) patients both male and female with 130 feet were included in this study. The Age was children less than 1 year of age. Severity of foot deformity was determined using Pirani Score. 

Results: Mean pirani score was 5.5. Mean numbers of casts were 7.TendoAchillies tenotomy was done in 118 feet. Minimum followup was upto 10 months. Recurrence occurred in 3 patients, who were again treated with ponseti technique.

Conclusion: Ponseti Technique is the preferred treatment of choice for the management of congenital talipes equinovarus, and should be started as soon as possible after birth. 

Key Words: Congenital talipes equinovarus, Ponseti Tecnique