Managing clubfoot with Ponseti method: Our experience with children upto 3 years of age
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction Ponseti method has become the mainstay of congenital clubfoot treatment in children presenting at early age The initial efficacy rate of Ponseti method reaches almost 100 The Ponseti method is also effective in older children with varied degree of success and preventing open joint surgery in almost every case The Pirani method of evaluating the deformity and treatment outcome is easy and fairly reproducible and corresponds to the functional outcome of the treated feetAim The present study aims at elucidating the efficacy of Ponseti method of clubfoot correction in an inexperienced hand and evaluating the feasibility and worth of Pirani severity scoring system in deformity and treatment evaluationMaterials and Methods This is a prospective study carried out ii our institution Shri Guru Ram Rain Medical College Dehradun India over a period of 2 years from June 2015 to December 2017 and includes 44 idiopathic Clubfeet corrective cast application at weekly interval as per Ponseti protocol and were assessed with Pirani scoring system The cases were followed up regularly at least for 6 monthsResults Following Ponseti protocol we were able to achieve success rate of 9545 We experienced only a few minor complications such as plaster sores and overcrowding of toes that too in initial phase of studyConclusion Ponseti method is truly the gold standard of clubfoot management Using Ponseti method one can expect to achieve almost 100 success rate It is also fairly effective in older children though with varied outcome or can at least prevent open joint surgery in them The Pirani scoring system is clinical based easy to apply and is in sync with Ponseti methodKeywords Clubfoot Ponseti method Pirani score
Authors and Affiliations
Kunal Vij, Pawan Kumar Rawat
Keywords
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- EP ID EP476648
- DOI 10.18231/2395-1362.2018.0057
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