Outcome of Ponseti Casting in Synromic Club Feet
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2023, Vol 35, Issue 03
Abstract
Objective: To determine the effectiveness of Ponseti casting in syndromic clubfoot Study Design: Quasi experimental study Place and duration of study: Department of Orthopedics, from January 2020 to December 2021. Methodology: Children of either sex, having clubfoot and other congenital abnormalities, less than one year age, without previous intervention with cast or surgical were included and with previous sessions of casting, previous surgeries, parents unwillingness were excluded. Photographs taken and Pirani score performed before start of casting. Weekly casting was done and documented. TA tenotomy was done in some feet and last cast performed. Last documentation and Pirani scoring was done. Follow up was done on 3 and 6 months. Recurrence and surgical procedure requirements documented. All data was compiled on SPSS version 20. Results: 50 children were included. 35 males and 15 females. 40 bilateral and 10 unilateral feet. High Pirani scoring was recorded before Ponseti Casting. Different number of casts were required and TA tenotomies done. Pirani score showed improvement but requiring more casts that idiopathic clubfeet. Pre and post-Ponseti mean Pirani score was 4.05 (S.D: ±0.82) and 2.0 (S.D: ±0.5) respectively with statistical significant difference (p<0.001). Twenty children developed recurrence and 10 required surgeries. Conclusion: Ponseti casting is useful in syndromic clubfoot deformity correction. Requires more casts, difficult but corrects deformity to a significant extent and recommended to use.
Authors and Affiliations
Kashif Mahmood Khan1, Pervez Ali2, Saba Asghar3
Keywords
Related Articles
- EP ID EP740854
- DOI -
- Views 16
- Downloads 0
Evaluation of Risk Factors of Hip Fractures; A Retrospective Study
Hip fractures are breaks in the neck and intertrochanteric region. These are serious injuries that most often occur in elderly persons and create a major social, psychological, economical and public health problem in thi...
Primary lymphoma of bone in children- A case series.
Lymphoma is a malignant disease primarily originating from the lymphoid cells. Lymphoma can be classified as Hodgkin (HL) and Non Hodgkin lymphoma (NHL). Most lymphoma in bones are non-Hodgkin lymphomas and 80% are Diffu...
Functional Outcome in Triceps Muscle Sparing Versus Muscle Splitting Approach in Pediatric Supracondylar Humerus Fracture
Objective: To determine the functional outcome of posterior triceps muscle sparing versus muscle splitting approach in supracondylar humerus fracture in children. Methods: This prospective randomized controlled study...
Gartland Type III Supracondylar Fractures of Humerus with Closed Reduction and Percutaneous Fixation with K-Wires Children
Supracondylar fractures are common skeletal injury in pediatric group at it comprises 50 to 70 % of elbow injury and are very potential for neurovascular injury between 5 to 10 years. Objective: To evaluate the result...
Outcome of Dual Nerve Transfer in C5-C6 Brachial Plexus Injuries.
Objective: To determine the outcome of Spinal Accessary nerve to Suprascapular nerve and motor branch of Radial nerve transfer to the Axillary nerve for restoration of shoulder abduction and external rotation in patients...