scholarly journals Outcomes of Congenital Talipes Equinovarus Treated with Ponseti Method

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Kushal Parikh ◽  
Niravkumar P. Moradiya
Keyword(s):  
Ponseti Method ◽  
Congenital Talipes Equinovarus ◽  
Talipes Equinovarus ◽  
Congenital Talipes

scholarly journals Accelerated versus conventional Ponseti protocol for the treatment of idiopathic talipes equinovarus deformity: A short term follow up in Iraq

2021 ◽  
Vol 25 (1) ◽  
pp. 473-479
Author(s):  
Jagar Doski ◽  
Berivan Jamal
Keyword(s):  
Ponseti Method ◽  
Congenital Talipes Equinovarus ◽  
Talipes Equinovarus ◽  
The Mean ◽  
Congenital Talipes ◽  
The Difference ◽  
Group 2 ◽  
Accelerated Protocol ◽  
Group 1

Background and objective: The accelerated protocol of Ponseti method was suggested to shorten the period of treatment of the conventional one for the cases of talipes equinovarus deformity. This study aimed to compare the accelerated protocol of Ponseti method in the treatment of clubfoot deformity with the conventional one. Methods: A prospective comparative study was conducted for infants less than six months with congenital talipes equinovarus deformity. The patients were randomized to either Group 1 (casts changed every week, conventional protocol of Ponseti method) or Group 2 (twice weekly, accelerated one). Pirani score was used to assess the severity of the deformity at presentation, at time of last cast removal, and at the last follow up visit (6th months). Results: The patients included were 48 cases with 79 feet. Group 1 (39 clubfeet) had a mean Pirani score of 5.6 (± 1.15) at presentation, which dropped to 0.47 (± 0.41) when the last cast was removed. In Group 2 (40 clubfeet), it dropped from 5.57 (± 0.83) to 0.77 (± 0.01). The result of each treatment protocol was significant, but the difference between them was not significant. Five cases (three patients aged more than three months) of Group 2 needed eight casts to reach an acceptable position of correction. The difference between the mean number of casts applied in Group 1 (5.09) and Group 2 (5.82) was statistically not significant. However, the difference between the mean number of days spent in the cast was significant. The complications occurred in 12 out of 79 feet, with no statistically significant difference between both groups. Conclusion: The accelerated protocol of Ponseti method for treating clubfoot deformity is as effective and as safe as the conventional one. It shortens the time required to complete the treatment program. Those who present lately (beyond the age of three months) may require an additional number of casts. Keywords: Clubfoot; Congenital talipes equinovarus; Ponseti; Accelerated; Cast.

scholarly journals Talipes equinovarus or Clubfoot: A review of study approaches, management and trends in Pakistan

2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Khadija Murtaza ◽  
Zahra Saleem ◽  
Sajid Malik
Keyword(s):  
Large Scale ◽  
Scientific Evidence ◽  
Basic Research ◽  
Population Based ◽  
Ponseti Method ◽  
Congenital Talipes Equinovarus ◽  
Public Health Action ◽  
Creative Commons ◽  
Talipes Equinovarus ◽  
Congenital Talipes

This paper aims to assess the status of scientific literature on talipes equinovarus (TEV) published from Pakistan, to get an insight into the trend in knowledge over the years, and to highlight study gaps in this area. A detailed review of published literature was conducted from November 2019 to January 2020. ‘Talipes/congenital talipes’, ‘clubfoot/congenital clubfoot’, ‘talipes equinovarus /congenital talipes equinovarus’ AND ‘Pakistan’ were used as key terms. Different search engines, PubMed, PakMediNet, ScienceDirect, Embase and Google Scholar were utilized to retrieve articles. A total of 63 articles were retrieved. The hotspot of TEV research in Pakistan has been its treatment and management. Over the years, treatment trend has shifted from operative to conservative; Ponseti method is predominantly employed. Hospital-based studies focusing on pediatric patients are common while population-based studies are devoid. In majority of cohorts, there is preponderance of male patients, idiopathic and unilateral cases. There is, however, scarcity of basic research on the prevalence, etiology, risk factors, clinical heterogeneity, associated anomalies, genetics, and molecular diagnostics of TEV. In conclusion, prudent scientific evidence is required for any policy-making and relevant public health action. Hence, large scale population-based studies are required for a broader overview and understanding the clinical spectrum of TEV. doi: https://doi.org/10.12669/pjms.36.6.2514 How to cite this:Murtaza K, Saleem Z, Malik S. Talipes equinovarus or Clubfoot: A review of study approaches, management and trends in Pakistan. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.2514 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Management of idiopathic clubfoot with Ponseti technique

2017 ◽  
Vol 5 (8) ◽  
pp. 3355 ◽  
Author(s):  
Sumeet Singh Charak ◽  
Khalid Muzafar ◽  
Omeshwar Singh
Keyword(s):  
Effective Treatment ◽  
Club Foot ◽  
Ponseti Method ◽  
Idiopathic Clubfoot ◽  
Corrective Surgery ◽  
Congenital Talipes Equinovarus ◽  
Talipes Equinovarus ◽  
The Mean ◽  
Congenital Talipes ◽  
Main Factor

Background: Idiopathic congenital talipes equinovarus (club foot) is a complex deformity that is difficult to correct. The goal of treatment is to reduce or eliminate its four components so that the patient has a functional foot and leads a normal life.Methods: Study have treated 20 patients with 32 idiopathic clubfoot deformities using Ponseti method. The severity was assessed by modified pirani scoring.Results: The mean number of casts that were applied to obtain correction was 7.02 (range four to nine casts). Tenotomy was done in 30 feet. Thirty feet had good results. One patient developed recurrence of the deformity due to non-compliance of the use of orthrotics.Conclusions: The Ponseti method is a safe and effective treatment for congenital idiopathic clubfoot and radically decreases the need for corrective surgery. Non-compliance with orthotics main factor causing failure of the technique.

Congenital talipes equinovarus

2011 ◽  
Author(s):  
Michael Uglow
Keyword(s):  
Antenatal Diagnosis ◽  
Primary Treatment ◽  
Ponseti Method ◽  
Congenital Talipes Equinovarus ◽  
Talipes Equinovarus ◽  
Congenital Talipes ◽  
Good Differentiation ◽  
Recurrent Deformity

♦ Aetiology of idiopathic congenital talipes equinovarus remains unknown♦ Antenatal diagnosis is common with good differentiation of the idiopathic from the syndromic foot♦ The Ponseti method is the treatment of choice: results are poorer in the atypical and syndromic feet♦ Surgery is required in selected cases as the primary treatment and in others, as treatment for residual and/or recurrent deformity.

scholarly journals Functional outcome of idiopathic congenital talipes equinovarus treated by Ponseti method: a midterm study

2018 ◽  
Vol 4 (2) ◽  
pp. 296
Author(s):  
Madhuchandra P. ◽  
Raju K. P. ◽  
Pawankumar K. M. ◽  
Shrinidhi I. S.
Keyword(s):  
Functional Outcome ◽  
Skeletal Maturity ◽  
Ponseti Method ◽  
Final Outcome ◽  
Indian Children ◽  
Congenital Talipes Equinovarus ◽  
Talipes Equinovarus ◽  
Long Term Follow Up ◽  
Congenital Talipes

<p class="abstract"><strong>Background:</strong> Idiopathic congenital talipes equinovarus is a characterized by deformities with lot of ambiguity regarding the forces maintaining the deformity and preventing its correction. The aim of our midterm study is to analyze the functional outcome of idiopathic congenital talipes equinovarus using Ponseti’s technique in Indian children presenting to us within the first three months of life without any prior treatment<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> 87 patients with 132 feet were treated for correction of idiopathic congenital talipes equino varus using the Ponseti technique from September 2009 to January 2013 at our Institute. These patients were followed up in a prospective manner for a period ranging from twelve months to fifty seven months (mean period of follow up was thirty two months). Children were evaluated before casting and at the end of casting, then at monthly intervals for another two months. Further follow up was done every six weeks till three years of age and then at six monthly intervals.<strong></strong></p><p class="abstract"><strong>Results:</strong> Our overall good to fair result was seen in 87.6% of cases. Rest of them had poor functional outcome. Long term follow up of all patients till skeletal maturity is required to know the final outcome of our treatment<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Severity of the deformity and the compliance of the parents and infants with orthotic devices for maintenance of the correction were the factors which ultimately determine the final outcome<span lang="EN-IN">.</span></p>

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