Management of congenital club foot

Aims and Objectives: To determine the effectiveness of Ponseti technique with the kite method in the management of congenital club foot

Study Design: It was a prospective interventional study

Place and Duration of Study: The study was conducted in the department of Orthopedic Surgery Foundation University Medical College and Fauji Foundation Hospital Rawalpindi from 1st October 2009 to 31st June 2010

Results: Total of 46 patients with grade 2 deformity was included in the study who meets the inclusion criteria. Patients were randomly divided into two groups of 23 each. Majority of the patients [65%] were between 05-09 weeks of age. The mean age was recorded as 7.7 weeks with S.D of 5.21. TEV is a predominantly male's disease as 65% patients in this study were males, while 35% were females in group-A. Similarly in group-B, males were 78% and 22% were female. Outcome of both the procedures was recorded at three months follow up. In group-A success rate was recorded 74% as compared to group-B in which 87% patients were found in satisfactory range with more than 25 passive range of dorsiflexion at ankle joint

Conclusion: Conservative Ponseti method is the best option for the management of Congenital Talipes Equino Varus [clubfoot] for grade 2 deformity, when starts early. This not only corrects the deformity, preventing surgical intervention but also lessens the financial burden over the parents as well as on the health system