الفهرس 
Results of ponseti technique in management of congenital talipes equinovarus (CTEV)
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Abstract
Background: clubfoot is one of the most common congenital deformities. Its incidence is estimated to be 1 per 1,000 live births. The deformity has four components: ankle equinus, hindfoot varus, forefoot adductus, and midfoot cavus. The spectrum of treatment options ranges from nonoperative methods including manipulation, strapping, repeated stretching and POP casting on oneside to operative methods like soft tissue surgery. Objective: the purpose of this study is to assess the effectiveness of Ponseti serial casting technique followed by full brace compliance in managemnet of congenital clubfoot Methods: Our study included 30 patients (44 involved feet) with clubfoot presented to outpatient clinic in Abu Elrish hospital ( Pediatric Orthopedic Surgery Unit , Cairo university hospitals ) and the National Institute of Neuromotor System hospital were managed previuosly using Ponseti serial casting technique and finished the duration of wearing the Dennis Brown brace. these feet were assessed clinically using Pirani score and radiologically through AP and Laterl Xray views.Results: 38 feet had less Pirani scores with painless plantigrade easily mobile foot. Only 6 feet were relapsed and had higher Pirani scores as they were not fully compliant to the brace. conclusion: Strict adherence to the guidelines given by Ponseti that include serial casting, maintenance by bracing and parental education. is the key to the best functional outcome in treatment of idiopathic clubfoot and to avoid relapse