Asian Pacific Journal of Health Sciences

Yazarlar: Sreeranga Nagaraj, Shankara K, Lakshmeesha T

Konular:-

DOI:10.21276/apjhs.2014.1.4.28

Anahtar Kelimeler:CTEV,Conservative management,Ponseti technique

Özet: Congenital talipes equino varus (CTEV) or club foot is a common congenital condition encountered for treatment by orthopaedic surgeons. The incidence of which is around 1-2 per 1000 live births. The treatment of Club foot in the 20th century saw a seasaw of events starting from conservative line to surgery & then again returning to conservative line with the advent of ponseti technique. We at Hassan institute of medical sciences treated 50 idiopathic club feet in 38 patients with ponseti technique. The study was conducted between August 2012 to September 2014 – with a total follow up of 24 months. Aim of the study was to correct the deformity, achieve plantigrade, painless foot, prevent usage of special shoes & avoid callosities. Children from 2 days to 12 months were included in our study. Pirani scoring was used to note the severity of the condition. They were all treated with manipulations & above knee plaster casts with 38 feet needing tenotomy. Total number of casts ranged from 4 to 11 in these patients. Average duration of treatment was about 2 months. Maintenance of correction was with foot-abduction orthosis – Dennis brown splint. We concluded that this technique is simple, economical, easy and effective with a high success rate & patient was happy with an aesthetically acceptable plantigrade look of the foot.

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