Evaluation of ponseti method in treatment of congenital idiopathic clubfoot

الملخص EN

Idiopathic congenital talipes equinovarus is the most common deformity of the foot.

We report our initial experience in using ponseti method for conservative treatment of club foot.

we studied 42 patients with 62 club feet from July 2002-to-december 2006-in orthopaedic clinic in Al Hilla teaching hospital and in private clinic, age from 1st day to 10 months, by serial correction and casting (2-8 times, for 7-10 days in each times).

tendoachilles tenotomy is used in 6 cases only(with local or general anesthesia), with follow up after treatment for one year, four patients(6 feet were lost from follow up).

We achieve 82% success rate, failure of correction is mainly related to poor compliance of the patients to the cast, late presentation of the patient to the orthopaedic clinic, and the severity of deformity is the third cause.

Complications are only 5 cases including, fore foot swelling, cast slippage and skin necrosis, all complications are treated.

We think that ponseti method is a safe and effective treatment for congenital idiopathic club foot and decreases the need for extensive surgical correction.