Outcome of Clubfeet by Physiotherapist Instructed Ponseti Method: A Case Study of 5 Years

Ponseti Method is a gold standard technique for the treatment of clubfoot or congenital Talepas Equino Varus with the proven higher success rate in physiotherapy practice. Aim of the study was to find out the evidence that application of Ponseti method bring complete clinical and functional outcome. A baby boy at the age of 20 days attended a health care center (LMRF) without history of any complication either himself or mother. We diagnosed him as bilateral typical clubfeet and score of his mid foot were higher compare to the hind foot throughout the casting period. Total Pirani score was 5.5 in both feet at the day of first casting. It required total 8 casting, where 1.5 and 1 were the Pirani score of the right and left foot respectively. He received manipulation (exercise therapy) just prior to the casting. Pirani score became 0 after tenotomy. Patient received the brace with the 6 size after 21 days of tenotomy. Patient also did the intense exercise therapy and highly encouraged to engage in gaming. Total 13 visits were needed up to the age of 5 years. Shoe size was changed over the time and at the last visit size was 13. Treatment was ended with the performance of all functional movement accurately with stability of the clinical outcome. This study can conclude that application of Ponseti method bring complete clinical and functional outcome and not only casting but also complete maintaining phase under physio brought the good result of club foot.