Conservative Treatments for Idiopathic Clubfoot: Ponseti’s Versus Kite and French Methods
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
Clubfoot is a birth defect where one or both feet are rotated inwards and downwards. The affected foot, calf, and leg may be smaller than the other. Most cases are not associated with other problems. Without treatment, people walk on the sides of their feet which cause issues with walking. The treatment of clubfoot has developed over time and can generally be divided into many approaches like: Kite method, Ponseti method, French Method and other surgical method. To examine the efficiency rate of different clubfoot treatment method (Kite method, Ponseti method & French Method). This study was a cross sectional and comparative study. During study the 200 patients with idiopathic legs with clubfoot 240 treated initially with the Ponseti technique that had relapse of their clubfoot were identified. Relapse was defined as a return to casting or surgery due to recurrent deformity. Data collected included demographics, treatment and brace adherence. Patients who sustained initial relapse before the age of two years were compared with those who sustained initial relapse after the age of two years. In this study Pirani Score is used because the Pirani Score is a simple and reliable system to determine severity and monitor progress in the Assessment and Treatment of Clubfoot. This Scoring System uses the different views of the foot to help visualize the issues in the underling soft tissue and bony anatomy. A foot can be assessed in less than a minute and no technical equipment is required. Ponseti method is very much useful and effective treatment for clubfoot patients rather than Kite and French methods.
Authors and Affiliations
Dr. Md. Shariful Haque, Dr. Mohammad Mushfiqur Rahman, Dr. Khaleda Perveen, Dr. Mahmuda Sharmin
Keywords
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