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Experience of treating the Talipes equinovarus deformity with Ponsetti technique at district level.

OBJECTIVE
To assess the Ponsetti technique's effectiveness in the treatment of talipes equinovarus.


Methods
The cross-sectional study was conducted from January 2013 to March 2018in Naushehero Feroze disctrict of the province of Sindh, Pakistan, and data was assessed at the Department of Orthopaedic Surgery, Dow University of Health Sciences / Civil Hospital, Karachi. Children with talipes equinovarus were treated with Ponsetti casting.


Results
Of the 86 patients, 53(68%) were boys and 33(32%) were girls. There were a total of 111 feet in the study. Once the foot reached neutral, percutaneous tenotomy of tendo achilles was done in 86)85%) of 111 feet. Seven (8%) patients had recurrence because of non-compliance in the maintenance phase. Overall, 17(19.7%) patients were lost to follow-up.


Conclusion
Ponsetti casting was found to be a simple, effective and acceptable method of treatment for talipes equinovarus.