Abstract
Introduction: Congenital idiopathic clubfoot is a common orthopedic condition in children. It has been associated with neuromuscular disorders and various syndromes. The Ponseti method has transformed the management of children with clubfoot producing good long-term results. The condition is more common in male childs.
Aim: To analyze the efficacy of accelerated Ponseti in the management of clubfoot and compare with the standard Ponseti.
Materials and Methods: We selected 40 children with idiopathic clubfoot <1 year and compared both standard and accelerated Ponseti methods. All were treated on outpatient basis. Each clubfoot was scored using Pirani score before cast application each week. Each foot manipulated and corrected with AK cast weekly in standard Ponseti and twice weekly in accelerated Ponseti.
Results: Out of the 20 patients corrected with standard Ponseti only 3 patients (11.5%) had relapse and only four cases among 20 patients corrected with accelerated Ponseti had relapse (20%).
Conclusion: Based on our study, we conclude that standard method of Ponseti correction is more effective than accelerated method of Ponseti correction.