THE CORRELATION BETWEEN INITIAL PIRANI SCORE AND NUMBER OF CASTS IN TREATMENT OF IDIOPATHIC CLUBFOOT BY PONSETI METHOD

Abstract

Background: Clubfoot is a common congenital deformity of the lower limbs. It should be treated as soon as possible so that its correction is more easily achieved and the Ponseti method is the gold-standard treatment for idiopathic clubfeet, with good results reported globally. Materials and Method: The present study includes 44 children with clubfoot. All the patients were below the age of six months. The participants were treated by the technique of Ponseti methods and casting every week. The scoring of Pirani was used for the determination of deformity level. The scoring was done before and after the treatment. The Pirani score before and after the treatment was compared. Results: There were 68.18% male and 31.82% female patients in our study. There were unilateral 20 (45.45%) children while 24 (54.55%) patients with bilateral clubfoot. In our study, most of the cases (29 cases, 65.91%) were below one month of age. Forty-Three percent of the feet were corrected with fourth serial casting. The majority of the feet in the study had an initial Pirani score between 3 and 4. The range of Pirani score were 1.5-6, and around 8 (11.76%) feet in our study had the maximum Pirani score of ‘6’ Conclusion: The number of casts for correction in idiopathic Clubfoot is influenced by initial Pirani score. The repair of a club foot deformity using Ponseti's manipulation technique and casting has proven to be quite successful. After treatment, the majority of patients', Pirani scores showed excellent results.