Abdus Samad Khan, Zia Ullah, Muhammad Zahid Shah, Muhammad Shoaib Khan.
Mid-term Results with Ponseti Technique for Clubfoot at Khyber Teaching Hospital.
Ophthalmol Update Jan ;15(3):280-3.

Background: Clubfoot or congenital talipes equino varus (CTEV) is still a problem faced by orthopedics throughout the world mostly in countries on low socioeconomic strata due to recurrence, relapse and residual deformity. In the poor nations lack of facilities, lack of education and poverty make it impossible to adhere to long lasting and multistage treatment of CETV, ending up with recurrent, relapse and resistant deformities which is very difficult to be dealt with. Treatment strategy is devised according to the age of presentation and previous treatments ranging from Ponseti serial casting at the outset, to soft tissue releases, tendon balancing and tendon transfers, osteotomies, ilizarov correction, arthrodesis and combination of the procedures. Ponseti has a pivotal role almost all stages of presentation. Objective: To evaluate clinical outcome of Ponseti technique for CTEV correction in our experience at Khyber Teaching Hospital, Peshawar. Design: Descriptive cross sectional study. Material and methods: This study was carried out at orthopedic B unit Department of Orthopedics and traumatology Khyber Teaching Hospital Peshawar, from June 2014 to June 2016. Data including age, sex, duration of treatment, complications during follow up and final clinical outcome was documented on preformed proforma.SPSS 18 was used for data analysis. Results: A total 98 patients (130 clubfeet), 71.4 % (n=70) were male and 28.6 % (n=28) were female. 71.4% (n=70) showed excellent results, 12.25 % (n=12) showed good results, 10.2 % (n=10) had fair results and 6.12 % (n=6) had poor results. Among the poor category all six patients showed relapse of deformity which were considered for PMR and tibialis anterior transfer. Five patients had skin excoriation (3 patients) and skin breakage (2 patients). Conclusion: Ponseti technique is simple , technically easy, cost effective and giving better results. In the perspective of recurrence, relapse and resistant deformities in CTEV it can be adopted as first and index choice in the treatment of clubfoot.

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