Evaluation Of Ponseti’s Technique For Congenital Talipes Equino-Varus By Dimeglio Classification
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Idiopathic congenital talipes equinovarus (club foot) is a common foot deformity and satisfactory results obtained by Ponseti's technique although various classification system has been given to quantify and to describe the outcome of deformity. Reliability of Dimeglio classification is established to assess deformity. Materials & Methods: 49 patients children with club feet with 73 feet who were presented within 12 months of their life with virgin feet, they classified by Dimeglio classification. All of them treated with weekly manipulation and casting with Ponseti's technique. Their responses were recorded by Dimeglio classification. Feet were graded in mild, moderate, severe and very severe variety. Results: Out of 73 feet, 33 feet were moderate, 36 feet were severe and 04 feet were very severe. 63 feet were corrected and 10 fails to correction by Ponseti technique. All moderate feet corrected by Ponseti's technique whereas all very severe feet required surgery. Tenotomy required in 54 feet. Requirement of tenotomy increase proportionately by higher Dimeglio score. Number of casts also increased with increment of Dimeglio score and severity of feet. Conclusions: Dimeglio classification is a valid and reliable system for clubfoot classification. The scores correspond to severity of clubfoot, scores depend upon the rigidity or flexibility of foot, defines initial severity, help to monitor the efficacy of treatment, predict the outcome of treatment, help in modification of treatment plan.
Authors and Affiliations
Nitin Kiradiya, Sameer Gupta, Utkarsh pal
Keywords
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