Outcome of Ponseti method of manipulation and casting for idiopathic clubfoot at Nishtar Medical University Hospital Multan.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2022, Vol 34, Issue 01
Abstract
Objective: To determine the outcome of Ponseti technique of manipulation and serial casting for idiopathic clubfoot in terms of correction achieved as per improvement in Pirani scoring. Methods: This descriptive study was conducted in Orthopaedic department Nishtar Medical University Hospital Multan from 25th January 2019 to 25th January 2021. All children of below one year age with idiopathic clubfoot fulfilling the inclusion criteria were treated with Ponseti method of manipulation and serial casting on weekly basis. Pirani score was used to assess foot deformity before and after casting and interpreted as excellent outcome(0 and 1 score),good outcome(1.5 and 2.5 score) and poor outcome(?3 score).The pre and post casting Pirani score was compared and P value was calculated with paired t-test. P value< 0.05 was considered significant. Results: In this study 100 children with idiopathic club feet were enrolled but 90 children completed the study. Bilateral club feet was present in 45(50%) children and unilateral in 45(50%) children. The total feet treated were 135. The mean age was 45.31±61.87 days. Male children were 53 (58.9%) and female 37 (41.1%). The average number of casts were 5.37±1.80. Tendo Achilles tenotomy was carried out in 73 (81.1%) children. The mean pre casting Pirani score of the right foot was 4.88±1 and post casting 0.13±0.44(p < 0.05) The mean pre casting Pirani score of the left foot was 5.02±1.19 and improvement was noticed with post casting Pirani score of 0.8±0.20(p<0.05).Overall excellent outcome was documented in 110(81.48%) feet and good outcome in 25(18.51%) feet. Conclusion: The Ponseti technique of manipulation and casting was very effective in correcting the club foot deformity as indicated by significant improvement in Pirani scoring and excellent outcome in majority of our patients.
Authors and Affiliations
ariq Mahmood1, Muhammad Badar ud Din Zafir2, MuhammadKhalid Chishti3, Muhammad Shafee Khalid4, Azmat Rasool5, Muhammad Furqan Ahmad6
Keywords
Related Articles
- EP ID EP741291
- DOI -
- Views 19
- Downloads 0
Outcome of Patients Suffering From Congenital Idiopathic Club Foot: A Comparative Analysis of Using Classical Versus Accelerated Ponseti Techniques
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 control...
Clinical Features and Short-Term Outcome Analysis of Anterior Cervical Discectomy; Effect of Instrumented Vs Non-Instrumented Fusion
To study the effects of instrumented vs non-instrumented anterior cervical decompression & fusion procedures for various degenerative cervical disorders in terms of improvements in pain & disability. Methods: Twenty t...
Outcome of Displaced Lateral Condyle Humerus Fractures in Children’s Treated with K-wire Fixation
To assess the outcome of lateral condyle of humerus fractures stabilized with K-wire fixation. Methods: This prospective study was conducted in department of orthopaedics at Chandka Medical College Hospital, Shaheed M...
Awareness Regarding Clubfoot in Parents
Objective: To assess awareness and knowledge regarding club foot in parents of children with clubfoot. Methods: This cross sectional study was conducted in Dow University hospital among 105 parents of children who hav...
Meniscal Cysts Associated with Mensical Tears in an Asiatic Population- Outcome of Arthroscopic Debridement
To study the outcome of arthroscopic treatment of meniscal cysts in patients diagnosed with meniscal tears in an Asiatic population. Methods: The study was conducted from May 2011 to Jan 2014 in 25 patients including...