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Outcomes of Clubfoot Treated With Casting in Ghana

Objective: Idiopathic clubfoot deformity is a condition in pediatric orthopedics with a prevalence of 1 in 1000. This study reports the outcomes of clubfoot treatment in Ghana. Methods: The study was Institutional Review Board (IRB) approved. Patients with clubfoot were treated by the Ponseti method...

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Autores principales: Yadavalli, Aditya, Hennrikus, William, Reichenbach, Scott
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8059866/
https://www.ncbi.nlm.nih.gov/pubmed/33898132
http://dx.doi.org/10.7759/cureus.14046
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author Yadavalli, Aditya
Hennrikus, William
Reichenbach, Scott
author_facet Yadavalli, Aditya
Hennrikus, William
Reichenbach, Scott
author_sort Yadavalli, Aditya
collection PubMed
description Objective: Idiopathic clubfoot deformity is a condition in pediatric orthopedics with a prevalence of 1 in 1000. This study reports the outcomes of clubfoot treatment in Ghana. Methods: The study was Institutional Review Board (IRB) approved. Patients with clubfoot were treated by the Ponseti method including weekly casting, Achilles tendon lengthening (TAL), and prolonged bracing. Data points collected included: extent of clubfoot, age, relapse, tenotomy prevalence, and number of casts. Results: Out of 1,634 patients, 72.4% were less than a year of age at the time of the first cast, 82.6% had more than eight casts prior to bracing, and 74.0% had a percutaneous Achilles tenotomy prior to the final cast placement. Only 1.2% of patients suffered a relapse. Conclusion: In Ghana, delays in seeking in treatment are common. Optimal results for the Ponseti treatment occur in children who present prior to the age of one. In the current study, 27.6% of children delayed treatment until after one. We recommend a community advocacy program to educate leaders and medical personnel about the Ponseti method. Despite a delay of treatment in 25% of the patients, there was only a 1.2% relapse rate. We recommend the Ponseti method in Ghana for children of all ages.
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spelling pubmed-80598662021-04-23 Outcomes of Clubfoot Treated With Casting in Ghana Yadavalli, Aditya Hennrikus, William Reichenbach, Scott Cureus Orthopedics Objective: Idiopathic clubfoot deformity is a condition in pediatric orthopedics with a prevalence of 1 in 1000. This study reports the outcomes of clubfoot treatment in Ghana. Methods: The study was Institutional Review Board (IRB) approved. Patients with clubfoot were treated by the Ponseti method including weekly casting, Achilles tendon lengthening (TAL), and prolonged bracing. Data points collected included: extent of clubfoot, age, relapse, tenotomy prevalence, and number of casts. Results: Out of 1,634 patients, 72.4% were less than a year of age at the time of the first cast, 82.6% had more than eight casts prior to bracing, and 74.0% had a percutaneous Achilles tenotomy prior to the final cast placement. Only 1.2% of patients suffered a relapse. Conclusion: In Ghana, delays in seeking in treatment are common. Optimal results for the Ponseti treatment occur in children who present prior to the age of one. In the current study, 27.6% of children delayed treatment until after one. We recommend a community advocacy program to educate leaders and medical personnel about the Ponseti method. Despite a delay of treatment in 25% of the patients, there was only a 1.2% relapse rate. We recommend the Ponseti method in Ghana for children of all ages. Cureus 2021-03-22 /pmc/articles/PMC8059866/ /pubmed/33898132 http://dx.doi.org/10.7759/cureus.14046 Text en Copyright © 2021, Yadavalli et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Yadavalli, Aditya
Hennrikus, William
Reichenbach, Scott
Outcomes of Clubfoot Treated With Casting in Ghana
title Outcomes of Clubfoot Treated With Casting in Ghana
title_full Outcomes of Clubfoot Treated With Casting in Ghana
title_fullStr Outcomes of Clubfoot Treated With Casting in Ghana
title_full_unstemmed Outcomes of Clubfoot Treated With Casting in Ghana
title_short Outcomes of Clubfoot Treated With Casting in Ghana
title_sort outcomes of clubfoot treated with casting in ghana
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8059866/
https://www.ncbi.nlm.nih.gov/pubmed/33898132
http://dx.doi.org/10.7759/cureus.14046
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