To Objectively Document the Deformity Before, and After Manipulation Using Pirani Scoring For Treatment of Idiopathic Clubfoot In Children Below Two Years of Age
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 9
Abstract
The purpose of this study was to evaluate the early results of the Ponseti Method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot in patients treated in Children’s Orthopaedic Clinic and Rehabilitation Department Medical University of Lublin between the years 2007–2011. Thirty-five patients with 47 idiopathic clubfeet were followed prospectively while being managed with the Ponseti method. Clubfoot severity was graded with use of the Dimeglio system. The initial correction was achieved, and early results were measured by using Pirani scoring method. A prospective comparative study of Accelerated Ponseti versus the Standard Ponseti method for treatment of idiopathic clubfoot was done at Department of Orthopaedics& Traumatology, Amaltas Institute of Medical Sciences, Dewas. The duration of study was from September 2013 to October 2015, and includes 26 patients (40 feet, 20feet each group). A total of 140 casts have been applied for 12 patients (20 feet) in the accelerated group. Pre-cast PIRANI SCORE (mean): 5.3, Post-cast PIRANI SCORE (mean): 0.5 A total of 135 casts have been applied for 14 patient (20 feet) in the standard group. Pre-cast PIRANI SCORE (mean): 4.6, Post-cast PIRANI SCORE (mean): 0.525. Accelerated Ponseti method is equally efficacious as the conventional method. Reduces the treatment period. More economical, Very useful in a developing country like India, Prevents recurrent visits to the hospital, Early detection of any complications as the patient is in the hospital.
Authors and Affiliations
Dr. Gaurav Jain
Keywords
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