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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-06
Treatment of Congenital Idiopathic Clubfoot: Ponseti Method
Dr. Md. Abdus Sobhan, Dr. Md. Zulfiqur Ali, Dr. Nahid Sultana
Published: June 30, 2020 | 128 110
DOI: 10.36347/sjams.2020.v08i06.035
Pages: 1588-1592
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Abstract
Clubfoot is a birth defect that is marked primarily by a deformed talus (ie, ankle) and calcaneous (ie, heel) that give the foot a characteristic "club-like" appearance. In congenital idiopathic clubfoot (ie, talipes equinovarus), the infant's foot points downward (ie, equinus) and turns inward (ie, varus), while the forefoot curls toward the heel (ie, adduction). This congenital disorder has an incidence of 1 in 400 live births, with boys affected twice as often as girls. Unilateral clubfoot is somewhat more common than bilateral clubfoot and may occur as an isolated defect or in association with other disorders (eg, chromosomal aberrations, cerebral palsy, spina bifida, arthrogryposis). Our study aim was to evaluate Ponseti Method for The Management of Congenital idiopathic clubfoot. This was a descriptive cross-sectional study conducted in the dept. of orthopaedics, Adhunik Sadar hospital chapainawabganj, Bangladesh during the period from January 2017 to June 2018. Data was collected from patients with idiopathic clubfoot, presenting at selected hospital. Both, unilateral, bilateral were included in the study. In this this study, we have treated 50 children with idiopathic clubfoot by Ponseti method of correction of serial manipulation and casting. Among the 50 children, 24 had unilateral and 22 bilateral involvement. Male were 26 and remaining 20 were female. Most children had grade III and grade IV (Dimeglio et al., grading) deformity. The mean number of casts required was 5.76 (4 to 10). Tenotomy was required in 12 feet (40%). The scores for the entire group ranged from 4.0 to 7.0 (of 10) and 4 to 19 (of 20) in the Dimeglio classification. Pirani scores for the age group 0- 6 months were 4.46, 6 months to 1 year were 5.36 and 1-2 years were 5.75 respectively. The results were excellent in 88.3% and good in 11.7%. Initial and final scores were statistically evaluated with paired ‘T’ test with a ‘T’ value of 36.76 with a ‘P’ value of less than 0.001.............