Treatment of Idiopathic Clubfoot with Ponseti Technique

Introduction: Idiopathic congenital alipesequinovarus (Club Foot) is a complex deformity that is difficult to correct. The goal of treatment is to reduce or eliminate its four components so that the patient has a functional foot and leads a normal life. Material and Methods: We have treated 30 patients with 41 idiopathic clubfoot deformity using Ponseti method. The severity was assessed by Modified pirani Scoring. Results: The mean number of casts that were applied to obtain correction was 7.02 (range four to nine casts). Tenotomy was done in 39 feet. Thirty nine feet had good results. One patientdeveloped recurrence of the deformity due to non-compliance of the use of orthrotics. Conclusion: The Ponseti method is a safe and effective treatment for congenital idiopathic clubfoot and radically decreases the need for corrective surgery. Non compliance with orthotics main factor causing failure of the technique.