A STUDY OF ROLE OF MANAGEMENT OF CONGENITAL TALIPES EQUINO VARUS DEFORMITY IN CHILDREN BY PONSETI METHOD

Dr Praneeth Reddy C V; Dr Siva Reddy B; Dr K J Reddy

Volume : X, Issue : VII, July - 2020

A STUDY OF ROLE OF MANAGEMENT OF CONGENITAL TALIPES EQUINO VARUS DEFORMITY IN CHILDREN BY PONSETI METHOD

Dr Praneeth Reddy C V, Dr Siva Reddy B, Dr K J Reddy

Abstract :

BACKGROUND AND OBJECTIVE: Idiopathic congenital talipes equino varus is a complex deformity that is difficult to correct. The treatment of clubfoot is controversial and continues to be one of the biggest challenges in pediatric orthopaedics. Most orthopedicians agree that that the initial treatment should be non surgical and should be started soon after birth. We aimed to study a short term follow up of 30 patients treated by the Ponseti method at the department of Orthopaedics, S.V.S Medical College, Mahabubnagar to assess the efficacy of the treatment modality. METHODS: 30 patients underwent the Ponseti method at Department of Orthopaedics S.V.S. Medical College, during the period of from September 2017 to September 2019, patients were followed up regularly at monthly intervals. The severity of foot deformities were graded as per Pirani’s scoring system. RESULTS : Good results were obtained in 27 patients. 3 patients developed recurrence of the deformity due to non compliance of the use of orthotics. INTERPRETATION AND CONCLUSION : The Ponseti method is a safe and cost effective treatment for congenital idiopathic clubfoot and radically decreases the need for extensive corrective surgery. Non compliance with orthotics has been widely reported to be the main factor causing failure of the technique