Volume : VIII, Issue : IX, September - 2018

TREATMENT OF CONGENITAL CLUBFEET BY PONSETI METHOD

Dr. Mahendra Kumar Swami

Abstract :

Clubfoot or congenital talipesequinovarus, is a congenital deformity of the foot. It consists of cavus, adduction, varus and equinus. This is due to medial displacement of navicular and calcaneus around the talus. Talus is in equinus. Medial deviation of the head and neck of talus is due to force of calcaneus on talus. Methods: This descriptive case series study was conducted from 1 September 2014 to 31 December 2016 to determine the frequency of idiopathic clubfoot correction, by using the Ponseti method. A total of 89, unilateral and bilateral clubfeet, from both genders were studied. Patients between age of 2 weeks to 1 year were included in the study. Basic pirani score six (06) who were previously untreated were included in the study. Patients who were corrected with serial castings, were put in foot abduction Steinbeck ace. All the data was collected in the proforma and analyzed by SPSS version 16.00. Results: A total of 89 clubfeet were included in the study. Mean age of the patients was10.28±7.45 ranging from 2 weeks to 1year. There were 47 (52.5%) male and 42(43.5%) female out of total 89 patients. Of these 10 patients were corrected with serial casting only while 76 patients underwent percutaneous tenotomy, which is a minor procedure and done on out –patient department basis. After correction, the feet were put in 70 degree of abduction in abduction ace. Only 3 patients required some sort of surgery, more than tenotomy. Conclusion: Ponseti is very effective, economical and non–invasive way of treating congenital idiopathic clubfoot. only resistant cases may need some sort of extensive surgery.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Mahendra Kumar Swami, TREATMENT OF CONGENITAL CLUBFEET BY PONSETI METHOD, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-9 | September-2018

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