RESUMO
Introduction: Idiopathic clubfoot or congenital talipesequinovarus is characterized by an excessively turned-infoot and a high medial longitudinal arch is the commonestcongenital foot deformities having 1 in every 1000 childrenborn worldwide. Though described long back, there has beenan interest towards Ponseti method of conservative treatmentof clubfoot recently. Our study was aimed to assess theefficacy of Ponseti technique in correcting congenital talipesequinovarus deformity of foot.Material and methods: 65 patients were enrolled in the studyout of which 47 patients were available for final follow-up. Allpatients presenting with CTEV with age up to 2 years wereincluded and patients more than 2 years, operated cases andsyndromic clubfoot were excluded. We treated all patientswith Ponseti method of serial casting and tenotomy.Results: Out of the total 65 feet studied, 42 feet (64.62%)required tendo achilles tenotomy and 23 feet (35.38%) weretreated with casting alone and tenotomy was not required.In our study, there were 8 cases of relapes (12.31%).Out ofthese, 7 were idiopathic and 1 was syndromic. Out of these 8relapses, 2 required repeat tenotomy and 6 were treated withcasting as per ponseti technique. Complications due to plasterwere minimal in our study. Incidence of rocker bottom feet inour study is nil because of dedicated clubfoot manipulation inclubfoot clinic and patients were followed up regularly.Conclusion: To conclude, this study showed that clubfootdeformity can be managed successfully provided the techniqueand details of manipulation described by Ponseti are followedstrictly and patients can be followed up regularly by a team ofdedicated orthopedic surgeons.