FUNCTIONAL OUTCOME FOLLOWING TREATMENT OF IDIOPATHIC CLUBFOOT USING PONSETI TECHNIQUE IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA

Dr. Vivekanandan Ramasamy, Prof. Vetrivel Chezian Sengodan, Dr. Iniya Prasanna Raajendiren

Abstract


Introduction:

Clubfoot, one of the most common congenital deformities of foot, requires early initiation of intensive treatment. Early initiation of treatment seems to result in better outcomes as observed by many orthopaedic surgeons. This study aims to assess the efficacy of Ponseti technique in correcting idiopathic congenital talipes equinovarus deformity of foot.

Materials and methods:

It is a prospective study of 248 cases with 318 feet attending CTEV clinic in a tertiary care hospital from September 2011 to August 2018 all of whom were diagnosed to have idiopathic clubfoot. Patients with syndromic clubfoot, with neuromuscular diseases and those presenting after previous failed treatment were not included in this study. Pirani scoring system was used to assess the severity of clubfoot deformity and weekly scoring was made to assess the improvement during the course of treatment. All patients were treated by serial casting with Ponseti method. Achilles tenotomy was needed in 212 patients (85.4%).

Results: In this study, good results were achieved in 96.7% of patients while 3.22% had fair results with Ponseti technique of treating congenital talipes equino varus. No poor results were seen in this study indicating failure of treatment using Ponseti technique.

Conclusion: Ponseti method of manipulation followed by serial casting proves to be an effective way of managing idiopathic clubfoot provided the techniques and principles are adhered to and treatment started at the earliest.


Keywords


Clubfoot, Pirani score, Ponseti technique

Full Text:

PDF

Refbacks

  • There are currently no refbacks.