Comparison of Radiological Outcome of Conventional vs Accelerated Ponseti Casting Techniqu
Club foot (congenital talipes equinovarus) is a common birth deformity affecting 1-2 per 1,000 live births, with even higher rates in low-income countries. The standard treatment is the Ponseti method using weekly serial casts, but weekly visits for several weeks can be challenging for families in hot climates or with
| Condition(s) | Club Foot |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | Club foot (congenital talipes equinovarus) is a common birth deformity affecting 1-2 per 1,000 live births, with even higher rates in low-income countries. The standard treatment is the Ponseti method using weekly serial casts, but weekly visits for several weeks can be challenging for families in hot climates or with limited resources. This randomized controlled trial compares the standard once-weekly Ponseti casting with an accelerated twice-weekly casting technique. The primary outcome is radiological correction measured by the lateral talocalcaneal angle (target ≥35°) on standardized foot X-rays taken six weeks after brace fitting. Secondary outcomes include the talocalcaneal index (\>40) and the tibio-calcaneal (dorsiflexion) angle (60-90°). Babies under six months of age with idiopat |
| Who can participate | Inclusion Criteria: -Both gender with idiopathic club foot with age less than 6 months Exclusion Criteria: * Syndromic club foot (e.g., associated with arthrogryposis, myelomeningocele, or other genetic syndromes) * Previous treatment for club foot (either serial casting or surgical intervention) * Any other significant congenital anomaly or medical condition that, in the opinion of the investigator, would interfere with treatment or follow-up |
| Ages | 1 Day to 5 Months |
| Sex | All |
| Lead sponsor | Khyber Medical University Peshawar |
| Locations | Peshawar, KPK, Pakistan |
| Start date | 2026-02-01 |
| NCT ID | NCT07554092 |
| Official listing | https://clinicaltrials.gov/study/NCT07554092 |