MANAGEMENT OF CLUBFOOT BY PONSETI METHOD
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 12
Abstract
BACKGROUND Talipes equinovarus is a congenital deformity consisting of ankle equinus, hindfoot varus, forefoot adduction and cavus of foot. Currently, close management such as serial casting is known as the gold standard treatment of idiopathic clubfoot. Long-term studies have reported excellent results in using the Ponseti method of clubfoot manipulation and serial casting accompanied with Achilles tendon tenotomy and foot abduction brace. Ponseti method has showed better range of motion and push-off strength compared to surgical release. Aims and Objectives- To study the clinical profile of clubfoot- sex ratio, laterality and severity. To assess the average duration of the treatment by Ponseti method in comparison to literature, to study the results of the treatment by Ponseti. To study the relation between initial Pirani scores and outcome. MATERIALS AND METHODS In the present case series, 20 cases of idiopathic clubfoot were treated by Ponseti method and assessed by Pirani scoring system. Using a prescribed format, the data was collected, assessed, analysed and compared with other series and observations were made. RESULTS The demographic profile of male: female sex ratio of 2.3: 1 was seen. Bilaterality in 45% of cases was seen with right-sided slightly more common. Group 2 cases were more common than Group 1 and 3. 80% of cases required tenotomy. CONCLUSION Ponseti’s method of conservative management is very effective in treating idiopathic clubfoot. Patients with low Pirani score respond faster to treatment. Tenotomy is necessary to correct equinus deformity. Maintenance of corrected deformity in a brace is necessary to avoid recurrence.
Authors and Affiliations
Polisetty Venkata Shyam Prasad, Lakshmi Sumana Voruganti
Keywords
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- EP ID EP412046
- DOI 10.14260/jemds/2018/336
- Views 79
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