Role Of Ultrasonography In Clubfoot Management – A Clinical
Study Introduction Clubfoot is one of the commonest congenital deformities in day to day orthopedics practice. It is best treated with PONSETI method. Severity of it is assessed by various clinical score which are affected by interobserver variation. Sonography can be used as method to assess severity and prognosis of clubfoot. Material and Methods In a prospective study 25 child with 31 feets(18 male and 7 female) of idiopathic clubfoot are examined sonographically at the start of treatment during (if tenotomy is required) and after the treatment. Following parameter are examined which are medial malleolus navicular distance, medial soft tissue thickness, calcaneocuboid distance and length of talus. Each child is treated with PONSETI method. Result Sonographic variables correlate well with pirani score at the start of treatment during and after the treatment and has good repeatability and reliability. Conclusion Ultrasound can be used as diagnostic tool to evaluate clubfoot and to assess the severity of it. It can also be used to determine the exact time for surgical intervention and to evaluate sonographically the reliablity of correction by Ponseti technique