Table 1 Functional Scoring System According to Dr. Ponseti [4]

Satisfaction (20 points)

   I am ...

1. very satisfied with end results

20

2. satisfied with end results

16

3. neither satisfied nor unsatisfied with end results

12

4. unsatisfied with end results

08

5. very unsatisfied with end results

04

Function (20 Points)

   In my daily living my club foot...

1. Does not limit my activities

20

2. Occasionally limit my strenuous activities

16

3. Usually limits me in strenuous activities

12

4. Limits me occasionally in routine activities

08

5. Limits me in walking

04

Pain (30 points)

   My club foot...

1. Is never painful

30

2. Occasionally causes mild pain during strenuous activities

24

3. Usually is painful after strenuous activities only

18

4. Is occasionally painful during routine activities

12

5. Is painful during walking

06

Position of heel when standing (10 points)

1. Heel varus 0 degree or some heel valgus

10

2. Heel varus 1-5 degree

5

3. Heel varus 6-10 degree

3

4. Heel varus >10 degree

0

Passive motion (10 Points)

1. Dorsiflexion

1 point per 5 degree (up to 5 points)

2. Total varus-valgus motion of heel

1 point per 10 degree (up to 3 points)

3. Total inversion-eversion of foot

1 point per 50 degree (up to 2 points

Gait (10 Points)

1. Normal

6

2. Can toe walk

2

3. Can heel walk

2

4. Limp

-2

5. No heel strike

-2

6. Abnormal toe off

-2