Muhammad Imran Khan, Muhammad Saqib, Khial Wali.
Predictive value of Pirani Scoring system for Achilles Tenotomy in Ponseti Technique.
Ophthalmol Update Jan ;12(3):199-200.

The purpose of this study is to assess the predictive value of Pirani scoring system for Achilles tenotomy in Ponseti technique. Patients & Methods: A total number of 25 feet in 15 patients of clubfoot were treated at Agency Headquarter Hospital Landikotal during the period from May 2012 to November 2013 by Ponseti method. The severity of the deformity was evaluated by Pirani scoring system. The data of all these successfully treated patients were analyzed and a correlation was found between the initial Pirani score and whether Achilles tenotomy will be required or not. Results: Out of 13 feet with a Pirani score greater than or equal to 5.0 at initial presentation, 12 feet (92%) required tenotomy. Of the 9 feet with Pirani score between 3.0 and 4.5, five feet (55.5%) required a tenotomy and 4 feet (44.5%) did not. Finally, 3 feet with initial Pirani severity scores between 1 and 2.5, none needed a tenotomy. Conclusion: The Pirani scoring system is reliable, quick, and easy to use, and provides a good forecast about the likely treatment for an individual foot but a low score does not exclude the possibility that a tenotomy may be required.

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