Journal of AdvancedMedical and Dental Sciences Research

Introduction: Clubfeet is the most common musculoskeletal congenital anomaly. Aim: This study aims to find out if we can predict the need for a tenotomy depending upon the initial precasting Pirani score of the deformity for better counselling of the parents. Materials and Method: This is a prospective study conducted on 64 patients (76 feet) of idiopathic clubfoot who were treated by the Ponseti method. In Results: The present study showed that 96% of feet having a Pirani severity score > or = 4  (or a severe deformity) needed tenotomy. Conclusion: Even a small procedure as a tendoachilles tenotomy is a matter of great concern and worry for the parents of the patient.Parents of a clubfeet child can be properly counselled regarding the need of tenotomy at the initial presentation itself if the deformity score is >or=4.
Key words: Clubfeet treatment, Musculoskeletal, Tenotomy, Tendoachilles.