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Case Report

J. Islam. Int. Med. Coll.. 2018; 13(3): 162-168

Effectiveness of Ponseti Technique in Children with Bilateral Neglected Clubfoot: A Case Report on a 7 Years Old Child

Ubaid Ullah,Sayed Zulfiqar Ali Shah.


The case is about a male 7-year-old child who was referred to our Ponseti clinic in Lady Reading Hospital for
bilateral neglected clubfeet management. The patient was assessed through Pirani assessment form for club
foot severity. This patient was treated through Ponseti technique and as a result the Patient went through serial
casting in the LRH-MTI Club foot clinic. Tenotomy was also performed for achieving maximum desired
correction. At first visit before cast the Pirani score for both feet was 6/6 and after first cast the Pirani score was
reduced to 5/6 bilaterally while after 2nd cast Pirani score dropped to 4/6 for the right foot and for the left the
score was 5/6. Assessment after 3rd cast revealed that Pirani score reduced to 3/6 for left side and 2.5 for right
side while on 4rth cast the Pirani score was 1.5/6 for both side. After removal of the fifth cast the Pirani scoring
was, 1/6 for right side and 1.5/6 for the left side. Patient was progressed to tenotomy and the Pirani score
interestingly dropped to 0/6 bilaterally. Patient X was then progressed to the preventive phase.

Key words: Clubfeet, CTEV, Dennis brown splint neglected,Ponseti, Serial casting.

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