Outcome of Patients Suffering From Congenital Idiopathic Club Foot: A Comparative Analysis of Using Classical Versus Accelerated Ponseti Techniques
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 02
Abstract
Objective: To compare the mean (days) required for correction of deformity by using classical versus accelerated Ponseti techniques in patients with congenital idiopathic clubfoot. Methods: It was a Randomized controlled trial conducted in General Orthopaedic Ward Ghurki Trust Teaching Hospital affiliated with Lahore Medical & Dental College, Lahore. The Study was carried out over a period of six months from 25-07-2017 to 24-1-2019.The total number of patients were 80 (40 patients in each group) in this study. Group-A was treated with Standard Ponseti (SP) method and group-B was treated with accelerated Ponseti. Results: Patients mean age was 1.6.±0.79 and 1.58±0.79 months in Group A and Group B, respectively. In Group A, 24 patients (60%) and in Group B 18 patients (45%) were males while 16 patients (40%) in Group A and 22 patients (55%) in Group B were females. Comparison of mean time (days) required for correction of deformity were 36.88±5.11 days and 20.73±3.40 in Group A and Group B respectively with p value <0.05. Conclusion: The Accelerated form of Ponseti technique is a very effective way for managing patients with congenital club foot.It reduces the duration of total casting without any effect on outcome as compared to classical method of ponseti.
Authors and Affiliations
Jamil Ahmed, Subhan Shahid, Waqar Alam, Ashfaq Ahmed, Haseeb Hussain, Rizwan Akram, Amer Aziz
Keywords
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