Idiopathic clubfoot management by Ponsetti technique hyperkyphosis
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 10, Issue 2
Abstract
Background: 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.In about half of those affected, both feet are involved Aims and Objective: To study Idiopathic clubfoot management by ponsetti technique. Methodology: This was cross-sectional study carried out in the pediatric with idiopathic club foot less than one year age presented to the orthopedic department during the two year period were included into the study. In the two year period there were 52 patients after written explained consent were enrolled to study.All of them undergone ponsetti technique for the management of idiopathic club foot. At the end all of them evaluated by Pirani score. The statistical analysis was done by paired t-test and calculated by SPSS 19 version software. Result: the majority of the patients were in the age group of 0-3 (months) were 48.08%, followed by 3-6 were 25.00%, 6-9 were 17.31%, 9-12 were 9.62%. The Majority of the patients were Female i.e. 67.31% and Male were 32.69%. In all the age groups the Post treatment Pirani score significantly differed as compared to pre treatment score i.e. 0-3 Years. (n=25)- 6.12 ±1.94 and 1.23 ± 0.98 (t=11.24,df=49,p<0.0001); 3-6 Years. (n=13) were 5.89± 2.12 and 0.95 ± 0.23 (t=12.34,df=49,p<0.0001); 6-9 Years. (n=9) were 6.32 ± 3.12 and 0.78±0.13 (t=13.45,df=49,p<0.0001); 9-12 Years. (n=5)- 5.63 ± 3.54 and 1.17 ±0.56(t=10.27,df=49,p<0.001) overall in all age groups score was 5.99 ± 0.30 and 1.03±0.21 (t=12.92,df=103,p<0.001) respectively in Pre-treatment score and Post treatment score. Conclusion: It can be concluded from our study the ponsetti technique was very effective in the management of Idiopathic club foot with respect to Pirani score for the assessment of club foot.
Authors and Affiliations
MMahendra Kumar Reddy, C Jagan Babu, K Muni Muralidhar Rao, K Usha Sree
Keywords
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