Midterm Results with Ponseti Technique for Clubfoot at Khyber Teaching Hospital, Peshawar
Afsar Khan, Muhammad Zahid Shah, Muhammad Shoaib Khan
Objective: To evaluate clinical outcome of Ponseti technique for CTEV correction in our experience at Khyber Teaching Hospital.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: This study was carried out at department of Orthopedics and Traumatology Khyber Teaching Hospital Peshawar, Pakistan from June 2014 to June 2016.
Patients and Methods: A total of 98 patients (130 clubfeet) were included in the study. Data including age, sex, duration of treatment, complications during follow up and final clinical outcome was recorded.
Results: There were 70 (71.4%) males and 28 (28.6%) females. Seventy (71.4%) patients showed excellent results, 12.25% (n=12) patients showed good results, 10.2% (n=10) patients had fair results and 6.12% (n=6) patients 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 complications that included 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.
Key words: Ponseti technique, Clubfoot