Clubfoot Tracker

Clubfoot outcomes & skin tracking

Good afternoon, Amy

Riverside Children’s Hospital · 24 patients in 2025

Total Patients

24

Jan–May 2025

Feet Treated

38

14 bilateral

Correction

94%

full correction achieved

Tenotomy Rate

87%

33 of 38 feet

Quick Actions

Recent Patients

See all

AH

AH-02022024-01

Right unilateral · In B&B · skin check due

B&B

JS

JS-15032024-01

14 weeks · Bilateral · 3 casts

Casting

RP

RP-28012024-01

20 weeks · Bilateral · 5 casts

Tenotomy

MK

MK-11012024-01

22 weeks · Left · Atypical

Complete

24 patients · Riverside Children’s Hospital · 2025 cohort

AH

AH-02022024-01

Right unilateral · In B&B · skin check due

B&B

JS

JS-15032024-01

14 weeks · Bilateral · Initial Rx

Casting

RP

RP-28012024-01

20 weeks · Bilateral · 5 casts

Tenotomy

MK

MK-11012024-01

22 weeks · Left · Atypical

Complete

EL

EL-04122023-01

28 weeks · Bilateral · 4 casts

B&B

TB

TB-19112023-01

30 weeks · Right · Idiopathic

Complete

NM

NM-03112023-01

32 weeks · Bilateral · Syndromic

B&B

DR

DR-22102023-01

34 weeks · Left · Initial Rx

Complete

AH-02022024-01

Right unilateral · Idiopathic

Initials AH DOB 02/02/2024 Sex M

Age at start 2 weeks Pirani (R) 5.5

Appointment today?Add scores and notes for this visit.

Stage 1 — Initial Assessment

Treatment started

Initial Pirani (R)5.5

Initial Pirani (L)—

DiagnosisIdiopathic

Atypical / complexNone

Stage 2 — Casting

Cast series complete

Casts applied (R)6

Slips (R)1

Pre-tenotomy Pirani (R)1.0

Stage 3 — Tenotomy

Completed — right

VenueClinic

AnaesthesiaLocal injection

Casts post-tenotomy1

Stage 4 — Boots & Bar

In boots & bar

Started19 Apr 2024

Boots & bar brandLazarus Ponseti

Pirani into B&B (R)0.5

Stage 5 — Correction Outcome

Pending

Progress and notes

Pirani score by visit

Right foot Left foot unaffected

Last visit

All visits

Seen by A Carter

Stage

Casting

Tenotomy

Boots & bar

Skin check

No problems

Log a problem

Add photos of the foot?

Yes

Skip

Notes

AH-02022024-01 · Right unilateral · In B&B since 19 Apr 2024
Boots & bar: Lazarus Ponseti · No skin checks recorded yet
Correction at brace entry: Pirani (R) 0.5 · all 3 criteria met · 1 slip in casting

Grading follows international pressure injury staging, adapted for bracing. Redness that fades within 30 minutes of boot removal is a normal pressure response. Grade 3 and above flags the record for clinical review. Skin events are always shown alongside correction quality at brace entry — an under-corrected foot fights the boot, whatever the brand.

1 · Select grade

1

2

3

4

5

Grade 1 — Blanchable redness

Redness that fades within 30 minutes of boot removal. A normal pressure response — monitor.

2 · Tap the location

Viewed from behind — calf & heel

The crosshair marks the centre of the heel pad. Use it as your reference point when marking.

Left · unaffected

Right

Viewed from above — toes & dorsum

Left · unaffected

Right

Log

No skin checks recorded yet

Select a grade and tap the foot diagrams above — entries will appear here.

Capturing side and location systematically is what makes patterns measurable — for example, whether blisters in unilateral patients occur more often on the unaffected foot.

Step 1 of 5 Demographics

Patient identification

Use initials and date of birth only. Your local system handles the link to NHS Number.

Patient initials

2–3 letters · never the full name

Date of birth

Sex

Female

Male

Treatment type

Initial Rx

Secondary Rx

Initial = first course of treatment with us. Secondary = continuing from elsewhere.

Corrected age at start (full weeks)

Patient ID will be generated as LR-18022025-01

Step 2 of 5 Diagnosis & Initial Pirani

Diagnosis

Select all that apply. Diagnosis may evolve over time — it can be updated on later visits.

Diagnosis

More than one may apply (e.g. syndromic with neurological involvement).

Idiopathic

Neurological

Syndromic

Atypical / complex foot

Atypical

Complex

None

Affected side

Right

Left

Bilateral

Initial Pirani score

Score 0–6 in half-point increments.

Right foot

Left foot

Step 3 of 5 Casting

Casting phase

Total casts applied and any cast slips during the casting series.

Number of casts

Right

Left

Cast slips

Right

Left

Pre-tenotomy Pirani

Right

Left

Step 4 of 5 Tenotomy

Tenotomy

Record whether tenotomy was performed and the anaesthesia approach.

Tenotomy completed

Right

Yes

No

Left

Yes

No

Venue

Clinic

Theatre

Other

Anaesthesia (clinic)

This list follows your venue choice. Theatre adds GA.

Casts post-tenotomy

Step 5 of 5 Boots & Bar · Correction

Boots & Bar phase

Pirani at the start of B&B and the three correction criteria.

Pirani into B&B

Right

Left

Boots & bar brand

Recording equipment lets skin complications be analysed against brand and fit — data the current audit can't see.

Correction achieved

Knee extended dorsiflexion 15°

Yes

No

Subtalar abduction 40°+

Yes

No

LTH reducible

Yes

No

Riverside Children’s Hospital

Jan–May 2025 · calculated live from your patient records

Cohort Overview

Total patients24

Total feet treated38

Mean age at start12.4 wks

Initial Rx21 (87.5%)

Secondary Rx3 (12.5%)

Side & Diagnosis

Bilateral

14

Right only

6

Left only

4

Idiopathic

21

Neurological

2

Syndromic

1

Casting & Tenotomy

Mean initial Pirani4.8

Mean casts pre-tenotomy5.2

Cast slip rate14% (5 pts)

Mean pre-tenotomy Pirani1.4

Tenotomy rate87% (33 / 38)

Correction Achieved

DF 15°

96%

Abduction 40°

92%

LTH reducible

94%

Auto-aggregation: these figures replace the old Excel rollup. They update in real time as patient records are added.

East Midlands Network

6 sites · 89 patients · anonymised regional view

Sites Reporting

6 / 6

100% participation

Total Patients

89

Jan–May 2025

Sites in Network

Riverside Children’s Hospital

Patients24

Tenotomy87%

Correction94%

Trent Valley Hospitals

Patients19

Tenotomy84%

Correction92%

Fenland Hospitals

Patients17

Tenotomy91%

Correction96%

Northfield General Hospital

Patients14

Tenotomy86%

Correction93%

Eastbrook General Hospital

Patients9

Tenotomy89%

Correction91%

Dovedale University Hospitals

Patients6

Tenotomy83%

Correction89%

Regional Aggregates

Outcomes — East Midlands

DF 15°

93%

Abduction 40°

91%

LTH reducible

92%

Mean casts pre-tenotomy5.4

Tenotomy rate (region)87%

For national audit committees: regional rollups feed straight into the national dataset — no manual collation, no copy-paste, no duplicate submissions.

Amy Carter

Paediatric Physiotherapist

[email protected]

Account

Display name

Shown across the platform

Amy Carter

Email address

[email protected]

Password

Change

Two-factor authentication

On

Preferences

Email digest

Weekly summary of your centre's audit activity

In-app notifications

Regional benchmarking

Compare your centre to East Midlands averages

Date format

DD/MM/YYYY

Your account is provisioned by your hospital's audit lead. Contact [email protected] for role or access changes.

Riverside Children’s Hospital

Paediatric orthopaedics · East Midlands Network

Trust Details

Trust code

RWE

Lead clinician

Mr J Brousil

Audit lead

S Okafor

Network

East Midlands

Site joined

2019

2025 Activity

Patients submitted

24

Active in casting

3

Completed treatment

15

Last submission

2 days ago

Registered Users

Amy Carter

Physiotherapist · Active today

Jo Bennett

Senior Physiotherapist · 2 days ago

Claudia MacCurvin

Audit Lead · 4 days ago

Sarah Okafor

Consultant · 1 week ago

James Brousil

Consultant Surgeon · 1 week ago

Patient JS-15032024-01 due for review

3 casts applied · pre-tenotomy Pirani assessment pending.

2 hours ago

Q2 2025 audit window closes in 6 weeks

21 of 24 records complete. 3 records have outstanding fields.

Yesterday

Regional network meeting · next month

Quarterly audit review · agenda attached.

2 days ago

Jo Bennett submitted record AH-02022024-01

Tenotomy completed bilaterally · local anaesthesia.

4 days ago

Dataset update applied

Multi-select diagnosis now supported · existing records unchanged.

1 week ago

Welcome to Clubfoot Tracker

Your account is active. Explore Help & Guidance to get started.

3 weeks ago

Export your centre's data

Download a copy at any time · RCH only

Exports include all records visible to you. Patient identifiers (initials & DOB) are included so you can match back to your local system.

New Export

Excel (.xlsx)

All 27 fields · one row per patient

CSV

For analysis software (R, SPSS, Stata)

PDF report

Formatted summary for sharing

Anonymised research dataset

No initials or DOB · for publication

Recent Exports

RCH_Q1_2025.xlsx

24 records · 412 KB · today, 14:22

RCH_2024_FullYear.xlsx

61 records · 1.2 MB · 14 Jan 2025

RCH_Anonymised_2024.csv

61 records · 218 KB · 14 Jan 2025

Every change is logged with timestamp, user, and field. Records cannot be silently edited or deleted.

Amy Carter updated cast count on JS-15032024-01

Today, 14:22 · IP 10.42.18.5

Amy Carter exported RCH_Q1_2025.xlsx

Today, 14:21

Jo Bennett created record AH-02022024-01

4 days ago, 09:14

Jo Bennett marked tenotomy complete on AH-02022024-01

4 days ago, 09:18

Claudia MacCurvin updated Pirani score on RP-28012024-01

5 days ago, 11:42

Claudia MacCurvin created record RP-28012024-01

2 weeks ago, 15:08

Sarah Okafor signed off Q4 2024 cohort 15 records

14 Jan 2025, 10:30

James Brousil corrected diagnosis on MK-11012024-01

9 Jan 2025, 16:51

How can we help?

Dataset definitions, platform guides & FAQs

Frequently Asked

How are patients identified without using names?

Each patient is given an ID built from their initials, date of birth, and a local sequence number — for example JS-15032024-01. The platform never stores the patient's name or NHS Number; your hospital keeps the link between this ID and the patient's clinical record on your own system.

What if a child has the same initials and DOB as another patient?

The trailing sequence number handles this — twins, for example, would be JS-15032024-01 and JS-15032024-02. The platform warns you when a possible match is detected, but the sequence number keeps every ID unique within your centre.

How does my data reach regional and national reports?

Automatically. Once you save a patient record, it's included in your centre's report, your regional rollup, and the national dataset in real time. There's no end-of-year collation, no spreadsheet upload, and no email attachments.

Can other hospitals see my patients?

No. Each hospital can only see its own patient-level records. Regional and national views show only aggregated, anonymised totals — never individual patient data from other centres.

Where is the data stored?

In the United Kingdom, on infrastructure that meets the NHS Data Security and Protection Toolkit (DSPT) standard. A Data Processing Agreement is in place with each participating Trust.

Can I edit or delete a record after saving?

Yes — but every change is logged with timestamp, user, and the specific field that changed. Deletion is soft (a record is hidden but retained in the audit history) and requires audit lead approval.

What if I lose internet connection mid-entry?

The wizard saves progress at the end of each step. If you lose connection, your partial entry is held locally and synced as soon as you're back online.

Guides

Dataset definitions

Pirani scoring, correction criteria, diagnosis categories

Getting started for new users

Information governance & data sharing

Adding users to your hospital

Get in touch

Platform queries & support

Customer support

[email protected]

0300 123 0000 (Mon–Fri, 9–5)

Technical Support

[email protected]

Response within 1 working day

Send a Message

Subject

Message

For urgent clinical queries about a specific patient, contact your hospital's audit lead directly. Clubfoot Tracker does not hold patient-identifiable data.