Introduction: One of the most prevalent types of birth defects affecting the lower limb is talipes equinovarus, which is present from birth. It is characterized by ankle going into equines, hind foot going into Varus, forefoot into adductus and mid-footcavus. Its incidence is estimated to be about 1-2 in every 1000 live births and male child being more commonly effected than female child (with male: female ratio of 2:1) more commonly being bilateral. Correction of congenital talipes equinovarus with the Ponseti approach of weekly manipulation of the deformity followed by lengthy leg cast is successful, minimally intrusive, and affordable. Except for the horses, the deformity can be fixed in four to five weeks. Reducing the length of time a kid is in correction is necessary to ease the child's and family's physical, mental, and financial suffering. Morcuende et al. and Xu created faster and modified protocols that take just 5 days to fix the foot, and they discovered that the outcomes were comparable to the standard technique. The purpose of this dissertation is to evaluate the efficacy of the accelerated Ponseti technique in the treatment of idiopathic congenital talipes equinovarus, as well as the risks and benefits of this procedure.

Aim of the study: The purpose of this study is to evaluate the efficacy of the accelerated PONSETI method in the correction of idiopathic congenital talipes equinovarus in children less than 2 years of age.

Materials and Methods: The study was provisionally approved by the institutional ethics committee, Andhra medical College, Visakhapatnam. Children under the age of two years who were diagnosed with idiopatic clubfoot and treated with the accelerated ponseti method at king george hospital between august 2020 and august 2022 were evaluated in this prospective group study.

Conclusion: The Ponseti method for correction of clubfoot is known to be the standard treatment regimen in clubfoot. In our study we have investigated the shorter regimen of modified accelerated Ponseti technique that uses the ponseti method with a modification of twice weekly casting instead of the standard once weekly changing of the casting. There was no need for major soft tissue release treatments to rectify the abnormality in any of the youngsters. Parents reported no complaints about their children's ability to walk normally after getting treatment. There were complications in few cases like pressure sore and relapses in 10% of cases that were tackled effectively with our treatment regimen. There were no other complications such as the cast associated skin allergies, cast loosening, swelling of foot and toes, vascular compromise, rocker-bottom foot, post Tenotomy neurovascular damage and wound infections. It was found that the duration required for correction is shortand all the patients have shown good compliance to the treatment regimen. Patients who have idiopathic CTEV and who are compliant with treatment show that the accelerated Ponseti method is just as safe, easy, effective, and efficient as the standard ponseti method.