Effectiveness of Ponseti Technique in Treatment of Idiopathic Clubfoot in age of 2 to 5 Years
Saqib, Saifullah Soomro, Asif Ali Shaikh, Muhammad Shuaib, Ghulam Sarwar, Zamir Ahmed Soomro
601
ABSTRACT
Objective To evaluate effectiveness of Ponseti
technique in treatment of clubfoot in children from 2 years to 5 years of age
Material and methods: Our study is Descriptive
case series done at Department
of Orthopedic Surgery, SMBBMU,
Larkana, from April
15, 2019 to October 14, 2019. Patients fulfilling inclusion criteria attending Ponseti clinic
of SMBBMU, Larkana were incorporated
in our study. After getting consent, procedure was explained in detail with
merits and demerits. Treatment was labeled
effective if Pirani score after treatment ≤1/6. Bracing phase with Dennis Brown shoes was started for
maintenance of the corrected foot after
post tenotomy cast removal. Data was collected and entered into the performa attached.
Results: Mean and standard deviation for age was
4.08±2.17 years. Among 71 patients, 48 (67.6%) patients were male and 23
(32.4%) were female. Positive family history was found to be in 8 (11.26%)
patients. Modes of delivery shows that 46 (64.8%) patients had gone through
C-Section while 25 (35.2%) had normal vaginal delivery. Efficacy of Ponseti
technique was noted in 52 (73.2%) patients.
Conclusion: From the studies it was shown that Ponseti technique for club foot in both
presenting earlier or late is safe and effective.
Keywords: Clubfeet, Congenital Talipes Equinovarus,
Ponseti Technique, Pirani Score.
ABSTRACT
Objective To evaluate effectiveness of Ponseti
technique in treatment of clubfoot in children from 2 years to 5 years of age
Material and methods: Our study is Descriptive
case series done at Department
of Orthopedic Surgery, SMBBMU,
Larkana, from April
15, 2019 to October 14, 2019. Patients fulfilling inclusion criteria attending Ponseti clinic
of SMBBMU, Larkana were incorporated
in our study. After getting consent, procedure was explained in detail with
merits and demerits. Treatment was labeled
effective if Pirani score after treatment ≤1/6. Bracing phase with Dennis Brown shoes was started for
maintenance of the corrected foot after
post tenotomy cast removal. Data was collected and entered into the performa attached.
Results: Mean and standard deviation for age was
4.08±2.17 years. Among 71 patients, 48 (67.6%) patients were male and 23
(32.4%) were female. Positive family history was found to be in 8 (11.26%)
patients. Modes of delivery shows that 46 (64.8%) patients had gone through
C-Section while 25 (35.2%) had normal vaginal delivery. Efficacy of Ponseti
technique was noted in 52 (73.2%) patients.
Conclusion: From the studies it was shown that Ponseti technique for club foot in both
presenting earlier or late is safe and effective.
Keywords: Clubfeet, Congenital Talipes Equinovarus,
Ponseti Technique, Pirani Score.