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Prospective Study to Evaluate the Ponseti Technique in the Management of Idiopathic Clubfoot

A.B. Patil* , A.B. Patil* , Vijaykumar Angadi**

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Journal of Orthopedic Education 3(1):p 5-8, January - June 2017. | DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.3117.1

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Abstract

Introduction: The 20th century was marked by the classification of two concepts in the management of clubfoot. The first is the general acceptance of the principles of manipulation, strapping and serial correction plaster casts and the other favours numerous surgical procedures for the correction of clubfoot. Methodology: Detailed personal history was recorded including the age, sex, father’s & mother’s name, address, date of first reporting, age of reporting, detailed history of previous treatment, etc. A thorough general & local examination was carried out & the deformity was scored according to Pirani’ s classification at each visit before applying cast. The score was plotted against the time and the trend of score was noted with reference to effect of manipulations or other interventions on deformity. Manipulations were done by Ponseti’s method followed by corrective casts at weekly interval without anaesthesia. Results: The number of cast application required to achieve full clinical correction were 4.7 (average) in patients whose initial Pirani scores were 3 while in patients with initial Pirani scores 6, number of cast required to obtain full clinical correction increased to 8 (average). Conclusion: Ponseti Method is an excellent conservative method for treatment of Congenital TalipesEquinoVarus.

Keywords: Ponseti’s Method; Congenital Talipes EquinoVarus; Club Foot.

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DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.3117.1

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