Evaluation of the Outcomes of Ponseti Method in the Treatment of Idiopathic Congenital Clubfoot Deformity in Tertiary Care Hospital of Pakistan: A Descriptive Study

Introduction: Clubfoot is congenital anomaly of foot requiring correction. Different methods are used to correct. Objective: To evaluate the outcomes of Ponseti method in the treatment of idiopathic congenital club-foot deformity. Study design: Descriptive study Setting: Department of Orthopedics, MTI-Khyber teaching hospital, Peshawar. Duration: May 19, 2022, till November 18, 2022. Subject: Patients for 1 week to 12 months of both genders having congenital clubfoot were enrolled using non-probability consecutive sampling techniques. Methodology: Study was conducted after approval of hospital ethical committee and written informed consent of parents. Demographic data was noted. Baseline X-rays were done, and pre-operative Pirani score was recorded. Ponseti method was used to correct clubfoot. After 6 weeks X-ray were done, and post-procedure Pirani score was noted. Outcomes were recorded on designed Performa. Data was entered and analyzed using statistical package for the social sciences (SPSS) 23. Results: In our study 88 cases were enrolled with mean age of 5.23±2.57 months. There were 36.4% males and 63.6% female patients. In 55.7% left foot was involved and in 44.3% right foot was involved. Pre-operative Pirani score was 4.9±0.6. Post-operative Pirani score was 0.16±0.3. Complete recovery was seen in 73.9% patients, partial recovery was seen in 19.3% and no recovery was seen in 6.8% patients. Conclusion: Ponseti method is effective in treatment of congenital clubfoot.