Ponseti technique in the management of Idiopathic club foot

284 feet in 182 children with clubfoot treated by Ponseti method in Government Medical College, Thiruvananthapuram during period of August 2011 to August 2013 were studied prospectively. Aim of the study was to evaluate the results and complications of Ponseti method of treatment and to assess the compliance of foot abduction orthosis by children and parents. The severity of initial club foot deformity, age at the initiation of manipulation, total duration of treatment and the need for tenotomy were studied. Severity of club foot was evaluated by Pirani scoring. The children were followed up for an average duration of 20 months. The outcome has no relation with the severity of deformity, but the younger the age the less the number of the casts were needed. Parents of 62 infants were feeling discomfort with the use of the orthosis but when explained properly they co-operated. 89% patients had post treatment score of 0 compared with average pretreatment score of 5.5. 56% needed tenotomy. Total average duration of the cast treatment was 2 months and we found excellent to good functional results in 80% in 20 months follow up.