Assessment of the ponseti method for clubfoot deformity management in newborns
DOI:
https://doi.org/10.48047/02znyf65Keywords:
:ponseti method, clubfoot deformity, neonates, non-surgical treatment, ctev (congenital talipes equinovarus)Abstract
This research seeks to establish the efficacy of ponseti technique when using it to manage congenital talipes equinovarus (ctev) deformities amongst newborns. The ponseti method was used in treating neonates with ctev. Neonates who had other conditions like meningocele, meningomyelocele, arthrogryposis or other neuromuscular conditions were not included. A standardized form was used to collect the data; this form contained demographic data, physical examination findings, management history (including pirani scoring) and complications. Therapy consisted of soft foot manipulation, then serial casting, and percutaneous achilles tenotomy as needed. Among these, 37 feet (63.8 percent) were rigid, and 21 feet (36.2 percent) were non-rigid. The pre-treatment pirani score had an average of 5.57 and the average number of casts that were applied per foot was 3.75. In 86.2% of the feet percutaneous tenotomy was carried out. The treatment success rate was 96.6 percent. The complications were few and included three instances (5.2%) of skin excoriations and blister formation. The average post treatment pirani score was 0.36 0.43. Ponseti technique is a minimally invasive, less expensive, and effective in the treatment of ctev among neonates. It headed excellent anatomical and functional outcomes with minimal complications. The best results rely on early start of treatment and on bracing protocol compliance. This method can be applied in both resource-permitted and resource-restricted settings and offers success rates that are high and low invasive surgical intervention.
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