International Journal of Orthopaedics Sciences

A comparative study to assess idiopathic clubfoot treatment between less than 3 month and more than 3 months of age by Ponseti’s Technique in a tertiary care hospital in Udaipur (southern Rajasthan)

2020, Volume 6 Issue 1

A comparative study to assess idiopathic clubfoot treatment between less than 3 month and more than 3 months of age by Ponseti’s Technique in a tertiary care hospital in Udaipur (southern Rajasthan)

Author(s): Dr. Dinesh Kumar, Dr. Mahendra Prakash Jain and Dr. Vinay Joshi
Abstract: Introduction: Globally, Clubfoot is the most serious cause of physical disability among congenital musculo skeletal defects. Etiology and risk factor are unknown but there is female predominance and increased prevalence in monozygotic twins. The goal of study to provide a brief knowledge regarding management of clubfoot via Ponseti mesthod i.e. simple manual correction of Deformity and plaster cast application and to reduce the need of extensive surgery for the clubfoot.
Aims and Objectives: To analyze the efficacy of Ponseti’s method in management of CTEV and To evaluate the outcome of Ponseti’s method for treatment of clubfoot and to compare the result between two age group i.e. less than 3 months of age and between 3 months to 1 year of age.
Material and Methods: For study purpose two groups were made with 50 babies in each group with congenital idiopathic clubfoot. Group A 50 babies from birth to upto 3 months of age and Group B of 50 babies from 3 months- 1 year of age were selected from outdoor patient department at Depts of Orthopaedics, RNTMC & Hospital, Udaipur from 1st July 2017 to 31st May 2019.
Results: Group-A Required less number of casts (1.2) as compared to group B(1.6) for Cavus correction, Required less number of cast (2.6) as compared to group B(3.2) for correction of Varus & Adduction, Required no surgical correction or procedure except than Percutaneous Tenotomy.
Conclusion: At the end of study all babies were free from deformity and having flexible, plantigrade, cosmetically acceptable foot which implies that Ponseti method can be used easily up to 1 year of age. The Ponseti method is very useful in our country which having less resources and huge patient load.
Pages: 1312-1315  |  1249 Views  82 Downloads
How to cite this article:
Dr. Dinesh Kumar, Dr. Mahendra Prakash Jain, Dr. Vinay Joshi. A comparative study to assess idiopathic clubfoot treatment between less than 3 month and more than 3 months of age by Ponseti’s Technique in a tertiary care hospital in Udaipur (southern Rajasthan). Int J Orthop Sci 2020;6(1):1312-1315. DOI: 10.22271/ortho.2020.v6.i1r.2004
 
International Journal of Orthopaedics Sciences
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