International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2019, Volume 5 Issue 2

Club foot correction by ponseti’s method, its functional effectiveness and clinical evaluation: A prospective study

Author(s): Anil Kumar Joshi, Pankaj Kumar Sharma, Chitra Joshi, Dhaval Gotecha, Firoz Ahmad and Saurabh Singh
Introduction: Club foot or CTEV (congenital talipes equinus varus) is a complex foot deformity of childhood, which has an emotional and socio-economic impact to the family. The aim of management should be to gain results in form of painless, plantigrade and functional foot without any disability. With availability of all the treatments modalities, the Ponseti’s method of conservative treatment with or without tenotomy is the preferred method in current scenario. We evaluated the effectiveness of Ponseti's technique with reference to functional outcomes in form of Modified Pirani severity scores and goniometric calculations of club feet treated by this method.
Material and Methods: We have studied 150 feet (60 bilateral and 30 unilateral) of idiopathic club feet (CTEV) at our tertiary center in the department of Orthopaedics with collaboration of Obstetrics and Gynecology (OBG) department. All the subjects were managed with Ponseti’s method of conservative treatment.
Results: Out of 150 feet, 140 feet had excellent functional outcome (Pirani score-0 to 0.5), 30 had good (Pirani score-0.5 to 1) and 5 had satisfactory outcomes (Pirani score-1 or more).
Conclusions: Ponseti’s method has low rate of complications, cost effective and having high success rate among all the modalities of treatment. This method has great potential for the treatment of clubfoot among different cultures in both developed and underdeveloped countries.
Pages: 164-168  |  22 Views  6 Downloads