Title: Management of Idiopathic Clubfoot by Ponseti Method- Our Experience
Authors: Dr Rishab Dubey, Dr Ajay Kumar Mahto
DOI: https://dx.doi.org/10.18535/jmscr/v10i4.10
Abstract
Congenital clubfoot is one of the most common musculoskeletal birth abnormalities, affecting 1–2 newborns out of every 1000 live births. However, it continues to test the skills of the paediatric orthopaedic surgeon because it has a notable tendency to relapse, regardless of whether the foot is treated conservatively or surgically.
Methods: It was prospective study, The study was conducted in the department of orthopaedics, Katihar Medical College & Hospital. A total of 36 feet confirmed by experts to have untreated Idiopathic Clubfoot were enrolled in the study. The severity of the deformity foe each foot was graded according to Pirani scoring, the period of the study from December 2019 to August 2021.
Results: The mean age of the study population was 4.416 months. Female cases were predominantly higher than male cases. Mean Pirani score before treatment 3.88±0.81 (range between 1.0– 6.0). 28.6 % of male patients and 22.7% of female patients needed percutaneous tenotomy. We have found significant correlation between before and after treatment of Clubfoot, The correlation factor was 0.687 and p value was <0.0001.
Conclusion: The accelerated Ponseti approach is a conservative treatment option for Congenital Talipes Equino varus that is just as effective as the standard Ponseti technique. Patients having a lower Pirani score at initial presentation respond better and faster to therapy than those with a higher Pirani score at first presentation. Treatment should begin as soon as possible, and the casting time frame can be significantly reduced by adopting an expedited procedure.
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