MANAGEMENT OF CONGENITAL TALIPES EQUINOVARUS WITH PONSETI TECHNIQUE IN CHILDREN UNDER 2 YEARS OF AGE
DOI:
https://doi.org/10.59058/jaimc.v21i4.212Keywords:
Club foot, Pirani Shafique score, Ponseti technique, CTEVAbstract
Background and Objectives: CTEV is a complex congenital deformity of the foot and occurs due to the confluence of genetic & environmental factors. If it is not treated promptly and accordingly, it limits patient mobility and results in a painful foot. In most cases, it is treated conservatively using the Ponseti technique. This method was developed by a Japanese orthopedic surgeon Ignatio Ponseti who successfully treated CTEV in infants without extensive surgery. It is a manipulative technique with percutaneous release of tendoachilles that allows the ankle to obtain correction. This study was conducted to assess the functional outcomes of CTEV management by Ponseti method.
Methods: Ethical approval was obtained from the Ethical Review Board Of Services Hospital Lahore. This descriptive study was conducted at the department of orthopedic surgery from December 2018 to December 2020. A total number of 120 patients having CTEV deformity of the foot, aged less than 2 years, were included in the study. From these, 70 children had bilateral foot involvement. It was treated with 5-7 casts with each cast applied for 07 days according to the Ponseti method. In the final cast, a percutaneous Achilles Tenotomy was performed, where the deformity was restricted to 10 degrees from the neutral. After completion of casts, each patient was braced with Foot Abduction Brace.
Results: We used Pirani Score for pre- and post-operative assessment of correction of deformity via Ponseti method. There were 91% excellent results achieved through this method, whilst 6% of patients had good results and 3% had poor results.
Conclusion: Ponseti technique has got good functional & cosmetic results. It is economical and easy to apply.
Key words: Club foot, Pirani Shafique score, Ponseti technique, CTEV
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Copyright (c) 2024 Muhammad Zafar Iqbal, Waqas Ali, Asghar Ali, Aarij Elahi, Muhammad Siddique Hamid, Mubashir Farhan
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