Functional Outcome of the Ponseti Method In Patients With Congenital Idiopathic Clubfoot

Irfan Ullah; Baqir Hussain

doi:10.54112/bcsrj.v6i6.2222

Authors

Irfan Ullah Department of Orthopedic Surgery, Lady Reading Hospital, Peshawar, Pakistan
Baqir Hussain Department of Orthopedic Surgery, Lady Reading Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.2222

Keywords:

Congenital clubfoot, Ponseti method, functional outcome, Bangla Clubfoot Tool

Abstract

Congenital idiopathic clubfoot is one of the most common musculoskeletal deformities in infants and may lead to long-term functional disability if not managed early. The Ponseti method is widely used as a conservative treatment approach due to its effectiveness, safety, and cost-effectiveness. Objective: To evaluate the functional outcome of the Ponseti method in patients with congenital idiopathic clubfoot. Methodology: This study was conducted on 107 children aged up to six months with congenital idiopathic clubfoot from 13-January-2025 to 13-May-2025. The diagnosis was confirmed through clinical evaluation. Children with Ehlers-Danlos syndrome, chromosomal abnormalities and neuromuscular disorders were excluded. All patients underwent the Ponseti technique. Functional outcomes were assessed at twelve weeks using the Bangla Clubfoot Tool categorized as excellent (85-100%), good (70-84%), fair (50-69%), and poor (<50%). Data were analyzed using SPSS 23. Results: The mean age of the 107 children was 3.76±1.70 months. There were 56 (52.3%) males and 51 (47.7%) females. Left foot was involved in 59 (55.1%) cases. Functional outcome assessment showed excellent outcomes in 25 (23.4%) cases, good outcomes in 67 (62.6%), fair outcomes in 11 (10.3%) and poor outcomes in 4 (3.7%) cases. Overall 92 (86.0%) patients achieved good or excellent functional results. Conclusion: Ponseti method achieved 23.4% excellent outcome and 62.6% good outcome in children with congenital idiopathic clubfoot. The treatment proved consistently effective across diverse demographic and clinical subgroups.

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