Effect Of Ponseti Technique On Tibial Torsion In Unilateral Idiopathic Clubfoot Deformity
Journal Title: Journal of Trauma and Orthopaedic Surgery - Year 2018, Vol 0, Issue 0
Abstract
Background: CTEV is a common congenital deformity of foot. Incidence is 1 per 1000 live birth. Tibial torsion deformity with internal tibial torsion is associated with CTEV. Most of these deformities corrects as age advances, but residual deformity brings concern to parents. Patient walks with intoeing gait. So this deformity needs early diagnosis and assurance to the parents. Material & Method: 18 unilateral CTEV were included in this study. All patients were treated with Ponseti technique and TA tenotomy for residual equinus deformity. Internal tibial torsion was measured with thigh foot angle (TFA) method after correction of CTEV and compared with normal foot. Result: The degree of difference is insignificant (less than 3 degrees) in 16 patients, remaining 2 patients have 4 to 5 degrees difference in tibial torsion compare to normal side. Also the P score value is <0.001, which is significant. Conclusion: Internal tibial torsion was significantly corrected after serial casting done by Ponseti method in CTEV patients. Method used for measurement of TFA in this study is cost effective and reproducible.
Authors and Affiliations
Sanjay Patil, Gopal Pundkare, Tejas Gandhi
Keywords
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- EP ID EP631972
- DOI 10.13107/jto.2018.v05i01.095
- Views 59
- Downloads 0
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