Original Articles
Assessment of Deformity Correction in Club foot by using Ponseti Technique and Pirani scoring system | |
Dr. Irfan Husain Siddiqui, Dr. Praveen Garg, Dr. Sumit Singh,Dr. Vikas Yadav | |
Background: This study was conducted for the Assessment of Deformity Correction in Club foot by using Ponseti Technique and Pirani scoring system. Material and Methods:The Pirani Scoring System, facilitated by the Pirani Score Record Sheet, offers a straightforward and dependable method for evaluating the severity and tracking progress in Clubfoot assessment and treatment. This system utilizes various foot views to identify issues in the underlying soft tissue and bony anatomy, enabling a quick assessment in under a minute without requiring specialized equipment. Developed by Canadian Orthopaedic Surgeon Shafique Pirani, who contributed to Clubfoot Services in Uganda and Malawi, this tool provides an easy-to-use framework for assessing the severity of individual Clubfoot components. It serves as a valuable resource for both initial evaluations and ongoing monitoring of patient progress. Results: 9 subjects aged from 1-4 weeks at the time of presentation, 10 subjects aged from 5-8 weeks at the time of presentation, 8 subjects aged from 9-12 weeks at the time of presentation, 3 subjects aged from 13-16 weeks at the time of presentation and 23 subjects aged over 16 weeks at the time of presentation. In 13 subjects, left side was involved, in 16 subjects, right side was involved and 24 subjects showed bilateral involvement. Conclusion:Our study accurately concludes that Ponseti's method is a patient- friendly, cost-effective way to easily and quickly correct club foot deformity. It is founded on a solid scientific understanding of the causes and constituent parts of the deformity. The findings of our study closely resemble those found in the literature, which is proof that the correction can be repeated regardless of small differences. The method's creator outlined some fundamental principles that must be followed. As Ponseti describes it, there is a small but significant learning curve that must be overcome in order to perfect the method and avoid fundamental mistakes that are both committable and preventable. These mistakes always result in failure. |
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