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Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation

BACKGROUND: Clubfoot has from long been an unsolved clinical challenge for the orthopedic surgeons. It is one of the commonest congenital deformities in children. More than 100,000 babies are born worldwide each year with congenital clubfoot. Around 80% of the cases occur in developing nations. METH...

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Autores principales: Pulak, Sharma, Swamy, MKS
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research and Publications Office of Jimma University 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407829/
https://www.ncbi.nlm.nih.gov/pubmed/22876070
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author Pulak, Sharma
Swamy, MKS
author_facet Pulak, Sharma
Swamy, MKS
author_sort Pulak, Sharma
collection PubMed
description BACKGROUND: Clubfoot has from long been an unsolved clinical challenge for the orthopedic surgeons. It is one of the commonest congenital deformities in children. More than 100,000 babies are born worldwide each year with congenital clubfoot. Around 80% of the cases occur in developing nations. METHODS: Fifty three feet [mean Pirani score (total) 5.6] in 40 children were treated by the Ponseti method from June 2006 to December 2010. A prospective follow-up for a mean duration of 19.5 months (range 6–30 months) was undertaken. Evaluation of the deformity by Pirani score and goniometry was performed, before and after the treatment and the results were assessed through Wilcoxon signed rank test. RESULTS: The average number of casts applied before full correction was 4.9. The duration of casts for more than 85% feet was <7 weeks. 94.3% patients needed tenotomy before full correction. There was a significant difference in the pre-treatment and the post-treatment Pirani score and goniometry values. CONCLUSION: Ponseti method of manipulation and plaster casting is very effective in correcting clubfoot deformity. It is especially important in developing countries and well-trained physicians and health personnel can manage the cases effectively by manipulation and cast application.
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spelling pubmed-34078292012-08-08 Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation Pulak, Sharma Swamy, MKS Ethiop J Health Sci Original Article BACKGROUND: Clubfoot has from long been an unsolved clinical challenge for the orthopedic surgeons. It is one of the commonest congenital deformities in children. More than 100,000 babies are born worldwide each year with congenital clubfoot. Around 80% of the cases occur in developing nations. METHODS: Fifty three feet [mean Pirani score (total) 5.6] in 40 children were treated by the Ponseti method from June 2006 to December 2010. A prospective follow-up for a mean duration of 19.5 months (range 6–30 months) was undertaken. Evaluation of the deformity by Pirani score and goniometry was performed, before and after the treatment and the results were assessed through Wilcoxon signed rank test. RESULTS: The average number of casts applied before full correction was 4.9. The duration of casts for more than 85% feet was <7 weeks. 94.3% patients needed tenotomy before full correction. There was a significant difference in the pre-treatment and the post-treatment Pirani score and goniometry values. CONCLUSION: Ponseti method of manipulation and plaster casting is very effective in correcting clubfoot deformity. It is especially important in developing countries and well-trained physicians and health personnel can manage the cases effectively by manipulation and cast application. Research and Publications Office of Jimma University 2012-07 /pmc/articles/PMC3407829/ /pubmed/22876070 Text en Copyright © Jimma University, Research & Publications Office 2012
spellingShingle Original Article
Pulak, Sharma
Swamy, MKS
Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation
title Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation
title_full Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation
title_fullStr Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation
title_full_unstemmed Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation
title_short Treatment of Idiopathic Clubfoot by Ponseti Technique of Manipulation and Serial Plaster Casting and Its Critical Evaluation
title_sort treatment of idiopathic clubfoot by ponseti technique of manipulation and serial plaster casting and its critical evaluation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407829/
https://www.ncbi.nlm.nih.gov/pubmed/22876070
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