اصلاح ناهنجاري هاي كلاب فوت به روش پونستي

Ponseti Method in Correction of Clubfoot Deformity

Background: Clubfoot is a common congenital deformity in babies occurring in 1 in 1000 live births. The more accepted procedure in the past was surgery in severe cases. Ponseti technique is a non-surgical treatment method. We are exploring our early results in a small group of children with this method of manipulation and casting. Methods: We reviewed 24 patients (32 feet) with idiopathic clubfoot who were initially treated with ponseti method .The severity of deformity were classified according to the Pirani score system, before and after of correction phase. Pirani severity score and result was used in a 9 months (4-14 months) average follow-up. Results: Initial correction was achieved in 31 patients (96.8%). The patients, average of Pirani score before correction was 5.53 and after correction was 0.09 (/?<0.05). Tenotomy was done in 21 patients (65.62%). Conclusion: Our study supports the use of ponseti method for the initial treatment of clubfoot deformity. Longer follow-up will be necessary to assess the risk of recurrence.