OUTCOME OF PONSETI TECHNIQUE FOR THE MANAGEMENT OF CONGENITAL TALIPES EQUINOVARUS AT A DISTRICT HOSPITAL
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 1969-1973
AbstractBackground: Congenital talipes equinovarus (CTEV), also known as clubfoot, is a complex congenital deformity of the foot that, left untreated, can limit a person’s mobility by making it difficult and painful to walk. Present study was aimed outcome of Ponseti technique for the management of congenital talipes equinovarus at a district hospital. Material and Methods: This prospective, observational study, conducted in children age <1- year, idiopathic clubfoot (unilateral or bilateral), underwent treatment by Ponseti method. Results: In present study, 48 infants with 80 clubfeet were studied. Majority were brought at less than 3 months of age (62.5 %), followed by at 6-9 months of age (16.67 %), 3-6 months of age (12.5 %) & at 9-12 months of age (8.33 %). Male infants (60.42 %) were more as compared to female (39.58 %). Mean age of presentation 3.6 ± 1.9 months. Only 5 feet (6.33 %) required percutaneous tendoachilles tenotomy. Mean number of casts applied for achievement of correction was 6.9 ± 2.1. Modified Pirani score before treatment was 5.1 ± 2.3 as compared to 0.56 ± 0.21 score at follow up of 1 year. Conclusion: Ponseti method of manipulation and casting is an excellent method for the correction of all four deformities associated with congenital talipes equinovarus & can achieve painless, plantigrade, normal looking foot, after proper follow-up & good compliance.
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