Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Congenital talipes equinovarus (CTEV), also known as clubfoot, is a common idiopathic deformity of foot presenting in neonates, characterized by cavus, adduction of forefoot, varus and equinus deformity of foot. Management can be conservative (stretching or splinting of foot) or surgical. If untreated, it causes permanent deformity and impairment of foot. To evaluate the effectiveness of Ponseti's method for treating idiopathic congenital talipes equinovarus. This prospective, observational study includes infants up to 12 months of age. Severity of CTEV was assessed using Pirani scoring system. Ponseti method of serial manipulation and casting was done in these patients. Clinical results were evaluated one year post follow‐up period. In our study average number of casts required by Ponseti technique for full correction of CTEV was 6.5. Out of 85 feet, per cutaneous Achilles tenotomy was required in 73 cases (85.88%) to achieve full correction. There is significant improvement in Pirani score from an average of 4.8 on initial presentation to 0.005 after complete casting. We conclude that, Ponseti’s technique of CTEV casting having >90% success rate in avoiding comprehensive surgical release, being affordable, safe and effective procedure, providing painless, plantigrade, cosmetically acceptable foot with better functional outcome with minimal complications. Success rate is higher among infants who were compliant with the treatment protocol.
How to cite this article:
Anmol Arpan Nand, Atul Anand and Swoyangprava Sil. Management of Idiopathic Congenital Talipes Equinovarus by Ponsetis Technique‐Outcome and Analysis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.291.296
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.291.296