Aims:

The aim of this study was to assess the progress and efficacy of the Ponseti treatment and related problems and the short term outcome of this Method Among Children With clubfoot treated at Gatagara orthopedic and rehabilitation hospital from July 2017 To March 2019.

Study design:

This study was a descriptive cross-sectional study.Place and duration of study:  The study was conducted at Gatagara Orthopedic and Rehabilitation Hospital in Rwanda (GORH) from July 2017 To March 2019.

Methodology: 

All information needed have been collected using a questionnaire. Part of informationwas extracted from patients’ files while the remaining data was directly obtained from theparents/guardians. Data have been analyzed using SPSS version 20. Descriptive analysis has beendone. The parents or care takers had to sign an informed consent form before being included in thestudy.

Results:

There were 55 children (91 feet) that have been involved in the study. The short outcome ofPonseti method was 72.5%. The mean initial Pirani score on Right foot was decreased from 4.7(SD 1.14) to 0.6(SD 0.94) at the time of consultation. On the left foot the initial Pirani score mean has decreased from 4.6 (SD 1.17) to 0.8(SD 1.2). The difference in both means was statistically significant (p value ˂0.001). The full time adherence on SFAB was reported in 43(78.2%) patients. There was a challenge of late presentation on treatment and adherence and financial constraints

Conclusion:

The difference between pre-treatment and post-treatment Pirani score means was showing an improvement with a statistical significance (p value ˂0.0001). The efficacy of the treatment in this study was estimated at 72.5% and the recurrence rate was 27.5%. In general, main challenges faced at 2 GORH were financial constraints like lack of money for transport, appointment disrespect, and non-goodcompliance to braces.