ATYPICAL CLUB FOOT: EARLY DIAGNOSIS & TREATMENT BY MODIFIED PONSETI TECHNIQUE GOVERMENT MEDICAL COLLEGE JAMMU.

Atypical clubfoot is a clinical type of idiopathic clubfoot that requires early detection and modification in the Ponseti treatment. The goal of treatment is to reduce or eliminate its 4 components so that the patient has a near functional foot and lives a normal life: We had 20 patients with 20 idiopathic atypical clubfoot deformity .Clinically, atypical clubfeet is defined as having rigid equinus, severe plantar flexion of all metatarsals, a deep crease above the heel, a transverse crease in the sole of the foot, short foot and a short and hyperextended first toe. Correction was achieved in all patients by modifying the Ponseti manipulation and casting technique. The mean number of casts that were applied to obtain correction was 8 (range four to nine casts). Tenotomy was done in all feet. Finally all the feet were considered clinically cured. Modified Ponseti method is an effective treatment for congenital idiopathic atypical clubfoot and reduces the need for corrective surgery .