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1. Outcomes of Ponseti Technique for Idiopathic Clubfoot in Children Presenting Up to Three Years of Age
Mohammad Aslam Mengal1, Saddam Mazar2, Nargis Taj3, Waseem Bari2, Mohib Ullah Durrani2 and Mohib Ullah Musakhail2
ABSTRACT
Objective: This purpose of this study is to evaluate the outcomes of Ponseti manipulation and casting technique in treating Idiopathic Congenital Clubfoot in children under three years of age.
Study Design: Descriptive study
Place and Duration of Study: This study was conducted at the Department of Orthopaedic Surgery, SKBZ Medical Complex Quetta from 1st September 2021 to 31st August 2022.
Methods: The study included 93 feet of 55 patients with idiopathic club foot deformity, of both genders, age from 1 week to 3 years. The deformities were corrected using the Ponseti manipulation and casting technique. Pirani Scoring System was utilized, while SPSS version 16.0 used to analyse the data.
Results: In this study, we included 55 clubfoot patients, 93 feet, with 37 males and 18 females. 9 cases had right-sided involvement, and 38 were bilateral. The pre-correction Pirani score ranged from 4 to 6, with a mean of 5.7, while post-correction scores ranged from 0 to 1, with a mean of 0.5. The mean age of the patients was 2.2 years, ranging from one week to three years. The Ponseti method resulted in 92.7% excellent outcomes.
Conclusion: We concluded that Ponseti technique was non-invasive, safe and provides efficient, satisfactory outcomes for the management of idiopathic congenital clubfoot in children presenting up to the age of three years.
Key Words: Idiopathic Congenital talipes equinovarus, Pirani scoring, Ponseti technique.