• Dr. Md. Mostafizur Rahman
• Dr. Tapas Kumer Talukder
• Dr. Md. Nazibullah
• Dr. Md Mohiudin Aslam
• Dr. Md. Syed Shamsul Arefin

The Pirani scoring system, together with the Ponseti method of club foot management, was assessed for its predictive value. The data on one hundred patients having one hundred and forty nine deformed feet treated by the Ponseti method and scored by Pirani’s system between 01/01/2016 to 31/12/2017 at the Dept. of Orthopaedics and Traumatology, Rangpur Medical College and Hospital were assessed. Among them sixty patients having eighty feet deformity were randomly selected and analyzed. There was a significant positive correlation between the initial Pirani score with number of casts and needs of tenotomy required to correct the deformity. A foot scoring 4 or more is likely to require at least four casts and scoring less than 4 will require three or fewer casts. Scores ≥5 require tenotomy, scores ≤3.5 do not require tenotomy, scores between 3.5 and 5.0 may need tenotomy. A foot with a hindfoot score of 2.5 or 3 has 88.68% chance of requiring a tenotomy. The Pirani scoring system is reliable, quick, easy to use, and provides a good forecast about the likely treatment for an individual foot but a low score does not exclude the possibility that a tenotomy may require. The Ponseti method of club foot management has been shown to be effective, producing better results and fewer complications than traditional surgical methods.1 The deformity is reduced by weekly manipulation and plaster casting. Most feet also require a percutaneous Achilles tenotomy. Correction is maintained by a foot abduction brace. Recent studies suggest that the Ponseti method can be successful in up to 98% of feet.2.

Pirani scoring, ponseti, orthopaedics, traumatology, percutaneous, tenotomy

"The Role of the Pirani Scoring System in the Management of Club Foot under the Age Two Years by the Ponseti Method", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 5, page no.918-923, May-2020, Available :http://www.jetir.org/papers/JETIR2005130.pdf

"The Role of the Pirani Scoring System in the Management of Club Foot under the Age Two Years by the Ponseti Method", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 5, page no. pp918-923, May-2020, Available at : http://www.jetir.org/papers/JETIR2005130.pdf