Comparative analysis of correction of idiopathic congenital talipes equinovarus by conventional and accelerated Ponseti method with minimum 12 months follow up in a tertiary care hospital in North India

Background: Congenital talipes equinovarus varus (CTEV) is one of the most common congenital anomalies foot and ankle affecting 1/1000 live birth approximately. With a male dominance pattern, this deformity bilateral in 50% cases. It has four basic components: cavus, adduction, equinus. Severity clubfoot accessed using Pirani score (0 to 6). Insights into pathoanatomy complex 3 dimensional helped correct it method given by Ignacio Ponseti, Spanish orthopaedician, which serial manipulations are done weekly casts applied, followed tendoachilles tenotomy selected cases equinus component then splintage feet Steenbeek splint initially for 23 hours day months 12 years. The important treatment parental counselling regarding need compliance with often loophole responsible relapse corrected feet.Methods: This was prospective study including 40 patients (61 feets) idiopathic age <3 month at presentation who were randomly distributed two groups, group 1 (accelerated Ponseti casting group) twice applied 2 (standard applied. Initial calculated all rechecked documented every successive visit. All upto there no lost follow up study.Results: mean days plaster duration accelerated 18.45 as compared 47.25 standard (statistically significant, p value <0.05). Also, end last comparable both groups. Tenotomy rate slightly higher (89.5%) (85.7%) may be attributed initial former (5.5) later (5.0).Conclusions: Accelerated biweekly reduces overall similar results regime.