Experience of treating the Talipes equinovarus deformity with Ponsetti technique at district level

To assess the Ponsetti technique's effectiveness in the treatment of talipes equinovarus. The cross-sectional study was conducted from January 2013 to March 2018in Naushehero Feroze disctrict of the province of Sindh, Pakistan, and data was assessed at the Department of Orthopaedic Surgery, Dow...

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Published inJournal of the Pakistan Medical Association Vol. 69(Suppl 1); no. 1; pp. S25 - S28
Main Authors Sahito, Badaruddin, Rasheed, Nusrat, Kumar, Dileep, Tariq, Syed Muhammad, Soomro, Zahoor Ellahi, Ali, Maratib
Format Journal Article
LanguageEnglish
Published Pakistan 01.02.2019
Subjects
Achilles Tendon - surgery
Casts, Surgical
Child
Child, Preschool
Clubfoot - surgery
Female
Foot Orthoses
Humans
Infant
Infant, Newborn
Male
Orthopedic Procedures
Pakistan
Patient Compliance
Recurrence
Shoes
Tenotomy
Pakistan
TEV, Ponsetti casting, District level
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Summary:To assess the Ponsetti technique's effectiveness in the treatment of talipes equinovarus. The cross-sectional study was conducted from January 2013 to March 2018in Naushehero Feroze disctrict of the province of Sindh, Pakistan, and data was assessed at the Department of Orthopaedic Surgery, Dow University of Health Sciences / Civil Hospital, Karachi. Children with talipes equinovarus were treated with Ponsetti casting. Of the 86 patients, 53(68%) were boys and 33(32%) were girls. There were a total of 111 feet in the study. Once the foot reached neutral, percutaneous tenotomy of tendo achilles was done in 86)85%) of 111 feet. Seven (8%) patients had recurrence because of non-compliance in the maintenance phase. Overall, 17(19.7%) patients were lost to follow-up. Ponsetti casting was found to be a simple, effective and acceptable method of treatment for talipes equinovarus.
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ISSN:0030-9982