Abstract

Background: Congenital talipes equinovarus (CTEV), commonly known as clubfoot, is a prevalent musculoskeletal deformity in newborns. The Ponseti technique has emerged as a leading treatment approach for correcting clubfoot deformities, involving serial casting and percutaneous Achilles tendon tenotomy. While clinical assessment tools like the Pirani scoring system have been widely used, sonographic evaluation offers a non-invasive, radiation-free alternative for assessing clubfoot deformities and treatment outcomes. Methods:A prospective observational study was conducted on 60 infants with idiopathic congenital clubfoot treated with the Ponseti technique. Sonographic parameters including tibio calcaneal distance, metaphyseal tibio calcaneal angle, and talo calcaneal angle were evaluated pre-treatment, post-treatment, and during follow-up. Additionally, clinical parameters such as the Dimeglio score and Achilles tendon length were assessed. Results: Significant improvements were observed in sonographic parameters and clinical scores from pre-treatment to post-treatment and follow-up. The Dimeglio score showed a marked reduction, indicating successful correction of clubfoot deformities. Sonographic measurements revealed enhanced equinus correction and tendon healing, supporting the efficacy of the Ponseti technique. Furthermore, a strong correlation was found between clinical severity grading and sonographic measures.

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