Cargando…

Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital

OBJECTIVES: To compare the outcomes of Ponseti treatment with the traditional treatment method for clubfoot. METHODS: A cross-sectional comparative study was conducted at the orthopedic department of Nishtar Medical Hospital & University Multan for one year. The study included 40 children (29 cl...

Descripción completa

Detalles Bibliográficos
Autores principales: Yaqeen, Ayesha, Sidra, Hafiza, Ijaz, Muhammad Abdullah, Ijaz, Muhammad Muneeb
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378408/
https://www.ncbi.nlm.nih.gov/pubmed/35991272
http://dx.doi.org/10.12669/pjms.38.6.5519
_version_ 1784768550095814656
author Yaqeen, Ayesha
Sidra, Hafiza
Ijaz, Muhammad Abdullah
Ijaz, Muhammad Muneeb
author_facet Yaqeen, Ayesha
Sidra, Hafiza
Ijaz, Muhammad Abdullah
Ijaz, Muhammad Muneeb
author_sort Yaqeen, Ayesha
collection PubMed
description OBJECTIVES: To compare the outcomes of Ponseti treatment with the traditional treatment method for clubfoot. METHODS: A cross-sectional comparative study was conducted at the orthopedic department of Nishtar Medical Hospital & University Multan for one year. The study included 40 children (29 clubfeet) treated with conventional treatment (pre-Ponseti group) who were compared with 55 Ponseti-treated children (72 clubfeet) (Ponseti group). All children were aged under five years. The traditional treatment involved casting and surgery (if required). All the participants were evaluated by a single orthopedic surgeon. The questionnaire was administered to the parents to collect relevant data. X-ray studies were conducted of all feet and patients’ records were checked for surgical history. RESULTS: Children in the pre-Ponseti group had a significantly higher number of surgeries (54) than those in Ponseti group eight. According to the reports of the parents, children in Ponseti group had significantly better motion in the ankle, lesser pain, and higher satisfaction (p<0.05.whereas, the pre-Ponseti group had a higher incidence of moderate or severe talar flattening rate (p=0.01). CONCLUSION: Ponseti treatment is better than earlier treatment in terms of lesser need of surgeries, higher flexibility of ankle or foot, and lower presence of X-ray guided talar flattening.
format Online
Article
Text
id pubmed-9378408
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Professional Medical Publications
record_format MEDLINE/PubMed
spelling pubmed-93784082022-08-19 Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital Yaqeen, Ayesha Sidra, Hafiza Ijaz, Muhammad Abdullah Ijaz, Muhammad Muneeb Pak J Med Sci Original Article OBJECTIVES: To compare the outcomes of Ponseti treatment with the traditional treatment method for clubfoot. METHODS: A cross-sectional comparative study was conducted at the orthopedic department of Nishtar Medical Hospital & University Multan for one year. The study included 40 children (29 clubfeet) treated with conventional treatment (pre-Ponseti group) who were compared with 55 Ponseti-treated children (72 clubfeet) (Ponseti group). All children were aged under five years. The traditional treatment involved casting and surgery (if required). All the participants were evaluated by a single orthopedic surgeon. The questionnaire was administered to the parents to collect relevant data. X-ray studies were conducted of all feet and patients’ records were checked for surgical history. RESULTS: Children in the pre-Ponseti group had a significantly higher number of surgeries (54) than those in Ponseti group eight. According to the reports of the parents, children in Ponseti group had significantly better motion in the ankle, lesser pain, and higher satisfaction (p<0.05.whereas, the pre-Ponseti group had a higher incidence of moderate or severe talar flattening rate (p=0.01). CONCLUSION: Ponseti treatment is better than earlier treatment in terms of lesser need of surgeries, higher flexibility of ankle or foot, and lower presence of X-ray guided talar flattening. Professional Medical Publications 2022 /pmc/articles/PMC9378408/ /pubmed/35991272 http://dx.doi.org/10.12669/pjms.38.6.5519 Text en Copyright: © Pakistan Journal of Medical Sciences https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0 (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yaqeen, Ayesha
Sidra, Hafiza
Ijaz, Muhammad Abdullah
Ijaz, Muhammad Muneeb
Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital
title Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital
title_full Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital
title_fullStr Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital
title_full_unstemmed Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital
title_short Comparison of outcome of Ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital
title_sort comparison of outcome of ponseti method with traditional clubfoot treatment in children up to five years of age at tertiary care hospital
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378408/
https://www.ncbi.nlm.nih.gov/pubmed/35991272
http://dx.doi.org/10.12669/pjms.38.6.5519
work_keys_str_mv AT yaqeenayesha comparisonofoutcomeofponsetimethodwithtraditionalclubfoottreatmentinchildrenuptofiveyearsofageattertiarycarehospital
AT sidrahafiza comparisonofoutcomeofponsetimethodwithtraditionalclubfoottreatmentinchildrenuptofiveyearsofageattertiarycarehospital
AT ijazmuhammadabdullah comparisonofoutcomeofponsetimethodwithtraditionalclubfoottreatmentinchildrenuptofiveyearsofageattertiarycarehospital
AT ijazmuhammadmuneeb comparisonofoutcomeofponsetimethodwithtraditionalclubfoottreatmentinchildrenuptofiveyearsofageattertiarycarehospital