ANALYSIS OF FUNCTIONAL OUTCOME OF CONGENITAL TALIPES EQUINOVARUS BY PONSETI METHOD IN OUR INSTITUTION.

Dr.M. Kannan; Dr.R.Umashankar

Volume : VII, Issue : IV, April - 2018

ANALYSIS OF FUNCTIONAL OUTCOME OF CONGENITAL TALIPES EQUINOVARUS BY PONSETI METHOD IN OUR INSTITUTION.

Dr. M. Kannan, Dr. R. Umashankar

Abstract :

Introduction:

Clubfoot is among the most common and severe congenital deformities of the foot. The incidence is reported to be 1:1000 live births[1]. Several etiologies have been proposed, and genetic involvement has been confirmed[2,3]. On a pathologic leve1, clubfoot specimens reveal an excess of collagen synthesis and retracting fiosis in the muscles, fasciae, ligaments and tendon sheaths of the posterior and medial aspects of the foot and leg[4] . The structural deformity that results is a combination of equinus, cavus, adductus and varus. In our study we have recorded the functional outcome of serial cast correction of CTEV by Ponseti method.

Materials and Methods:

In our series, we have treated 71 babies with 109 idiopathic clubfoot by Ponseti method of serial casting. Of the 71 babies, 38 had bilateral affection and 33 had unilateral. 52 of the babies were male and 19 were female. We did tenotomy in all cases.

Results :

We achieved correction in all cases. Children less than 12 months need 5 casts followed by percutaneous tenotomy. More than 12 months old children need additional casts. We had no recurrence. All feet achieved plantigrade correction.

Conclusion:

We conclude that the Ponseti method is a very safe, efficient and economical treatment for the correction of club foot that radically decreases the need for extensive corrective surgeries. The Ponseti method of cast correction is economically beneficial to our Indian population.