THE RULE OF PONSETI TECHNIQUE FOR CORRECTION OF RECURRENT CASES OF CONGENITAL TALIPES EQUINO VARUS

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Orthopedic dept., Sohag Faculty of Medicine, Sohag, Egypt

Abstract

ntroduction: Club foot or congenital talipes equinovarus (CTEV) is a congenital foot deformity.
Recently, interest has been renewed in the Ponseti casting technique rather than surgery for CTEV. This
study evaluates using the Ponseti technique to correct recurrent cases of idiopathic congenital talipes
equinovarus. Methods: This is a prospective study of 16 patients (25 feet) with recurrent CTEV deformity
who presented to the orthopedic outpatient clinic of a tertiary hospital between March 2013 and
March2014. The Ponseti technique was applied to all cases with or without Achilles tenotomy, with
Denis-Browne splint application after final cast removal. Patients were assessed for compliance and
success at follow-ups for 14 months. The results were classified according to the Pirani score. Results:
Eleven males (68.75%) and five females (31.25%). Nine patients (56.25%) had bilateral involvement. The
average age of patients at the time of presentation was 10 months. The mean number of the casts required
was five casts. Tenotomies were performed on 21 feet (84%). According to Pirani score, an excellent
score was found in 23 feet (92%), and a good score was found in 2 feet (8%). No relapsing cases were
found, and minor complications of swelling, redness, and pressure over the head of the talus were
encountered. Conclusion: Ponseti serial corrective cast management is an easy and effective method of
CTEV correction for idiopathic clubfoot, especially when applied during an early period of CTEV

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