title: Management of Congenital Talipes Equino Varus (CTEV) by Ponseti Casting Technique in Neonates: Our Experience.
abstract: OBJECTIVE
  The purpose of this study is to evaluate the results of Ponseti technique in the management of congenital Talipes Equino Varus (CTEV) in neonatal age group.
  
  
  METHODS
  It is a prospective observational study, conducted during the period of July 2010 to December 2011 at the Department of Pediatric Surgery in a tertiary hospital. All the neonates with CTEV were treated with Ponseti casting technique. Neonates with other congenital deformities, arthrogryposis and myelomeningocele were excluded.
  
  
  RESULTS
  Total 58 CTEV feet of 38 neonates were treated. Twenty six were males and 12 were females. Thirty seven (63.8%) feet were of rigid variety and 21(36.2 %) feet were of non-rigid variety. Twenty patients had bilateral and 18 had unilateral involvement. Mean pre-treatment Pirani score of study group was 5.57. Mean number of plaster casts required per CTEV was 3.75 (range: 2-6). Thirty five rigid and 15 non-rigid (total 86.2%) feet required percutaneous tenotomy. Out of 58 feet 56 (96.6%) were managed successfully. Three (5.2%) patients developed complications like skin excoriation and blister formation. Mean post-treatment Pirani score of the study group was: 0.36 ± 0.43.
  
  
  CONCLUSIONS
  The Ponseti technique is an excellent, simple, effective, minimally invasive, and inexpensive procedure for the treatment CTEV deformity. Ideally it can be performed as a day case procedure without general anesthesia even in neonatal period.
authors.affiliation: Department of Pediatric Surgery, Bangladesh Institute of Child Health (BICH) and Dhaka Shishu (Children) Hospital, Dhaka.
authors.forename: Md
authors.initials: M
authors.lastname: Saif Ullah
authors.affiliation: Department of Pediatric Surgery, Bangladesh Institute of Child Health (BICH) and Dhaka Shishu (Children) Hospital, Dhaka.
authors.forename: Kazi
authors.initials: K
authors.lastname: Md Noor-Ul Ferdous
authors.affiliation: Department of Pediatric Surgery, Bangladesh Institute of Child Health (BICH) and Dhaka Shishu (Children) Hospital, Dhaka.
authors.forename: Md
authors.initials: M
authors.lastname: Shahjahan
authors.affiliation: Department of Pediatric Surgery, Bangladesh Institute of Child Health (BICH) and Dhaka Shishu (Children) Hospital, Dhaka.
authors.forename: Sk
authors.initials: S
authors.lastname: Abu Sayed
keywords: Neonate; Ponseti technique; Talipes equino-varus