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Volume 12 Issue 2 ( April- June) 2023

Original Articles

To evaluate the success rate of idiopathic clubfoot management by ponseti technique under 2 years age group, and to determine the cause of relapse
Dr. Pawan Kumar Mishra, Dr. P.Muthaiyan

Introduction: Congenital talipes equinovarus (CTEV), also known as clubfoot, is common congenital orthopedic foot deformity in children characterized by four components of foot deformities: hindfoot equinus, hindfoot varus, midfoot cavus, and forefoot adduction. Ponseti method has become the mainstay of congenital clubfoot treatment in children presenting at early age. The initial efficacy rate of Ponseti method reaches almost 100%. The Pirani method of evaluating the deformity and treatment outcome is easy and fairly reproducible and corresponds to the functional outcome of the treated feet. Purpose: To evaluate the success rate of ponseti technique in management of idiopathic clubfoot, in children up to 2 years of age and to determine relapse percentage during follow up. Methods: This is a prospective study conducted at the Orthopaedic Surgery units of IGGGH & PGI, Pondicherry with idiopathic club foot aged from 7days to 2 years between June 2014 to May 2016 (two years) and includes 30 childrens having idiopathic Clubfoot, corrective cast application at weekly interval as per Ponseti protocol and were assessed with Pirani scoring system. Results: In this study, overall 90% of the patients (36 out of 40 feet) showed excellent to good outcome (successful result) after 18 months of follow up. Patients presenting earlier in this study (<7 months) showed excellent results. About 3 (10%) had poor results as they showed relapse, relapses were seen in noncompliance group. Conclusion: Ponseti Method is an excellent conservative method for treatment of Congenital Talipes Equnio Varus (CTEV) deformity. Treatment must be started as earlier as possible. Maintenance of the corrected deformity with molded orthosis is as important as deformity correction, parent motivation & compliance is very important for successful management of the deformity

 
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