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ORIGINAL ARTICLE
Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 30-34

Management of idiopathic congenital talipes equinovarus by standard versus accelerated Ponseti plaster technique: A prospective study


Department of Orthopaedics, V.S.S. Medical College, Burla, Sambalpur, Odisha, India

Correspondence Address:
Biswajit Sahu
Sri Ramachandra Appartment, Medical Road, Ranihat, Cuttack - 753 007, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-7341.183960

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Introduction: Ponseti technique has been accepted as the standard method of treatment for clubfoot. Accelerated Ponseti method with casts being done twice weekly, is being utilized recently to reduce the duration of plaster treatment. Materials and Methods: A prospective study was done in 80 feet (53 patients), who were randomly allotted with 40 feet in standard group and 40 feet in accelerated group. In standard group, manipulation and casting were done at weekly intervals, whereas in accelerated group, the same was done at 3 days interval. The initial and final Pirani score, number of casts required, duration of casting and relapse after treatment were recorded for all cases in both the groups and the results were analyzed. Results: Average initial Pirani score was 5.03 and 5.3 in standard Ponseti group and accelerated Ponseti group, respectively. The average final Pirani score was 0.2 and 0.25 in standard Ponseti group and accelerated Ponseti group, respectively. The average number of casts required for correction was 6.2 and the average duration of casting was 8.2 weeks in standard Ponseti group. The average number of casts required for correction was 7.4, and the average duration of casting was 3.4 weeks in accelerated Ponseti group. Conclusion: The advantage of accelerated Ponseti is early correction of the deformity with better acceptability by the parents. Accelerated method can be considered as an effective alternative method for correction of clubfoot.


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