Treatment Success with the Ponseti Technique in Congenital Talipes Equino Varusup to two Years of Age.
Asghar khan , Israr ul haq ,Dilawar khan , Bahadar ali khan, Sajid Akhtar
Background: Congenital talipes equinovarus (CTEV) is a severe foot birth disorder that may make walking difficult and painful and limit mobility. Seventy-five per cent of clubfoot infants are born in low- and middle-income countries. Clubfoot has long been treated. As orthopaedists gravitated toward surgery to treat clubfoot in neonates, non-operative treatment became less popular.
Objective: The study examined how the Ponseti technique works, how bad the deformity is (as measured by the Pirani score), and how much it costs to treat congenital talipes equino Varus in babies under the age of two. The Ponseti Clinic treated 490 individuals with 456 CTEV-infected foot cases.
Material And Methods: this prospective clinical study was conducted in Swat's Saidu Teaching Hospital between 2017 and 2021. 456 patients were selected using the inclusion and exclusion criteria department of orthopaedic saidu teaching hospital swat concluded this study. The youngsters were 3.20 months old on average, and they needed 6.80 casts to improve. At the final follow-up, 90.20 per cent of patients (score > 24) had positive functional outcomes. The Ponseti method for CTEV treatment may be helpful regarding both function and aesthetics. This method is safe, straightforward, and economical to treat clubfoot in an impoverished country like Pakistan.
Results: The study revealed that 90.20% of patients had a positive functional outcome. The average age of the patients at the start of treatment was 3.20 months, and the average number of casts required was 6.80. The Ponseti method was found to be an economical and effective treatment for CTEV in infants under the age of two.
Conclusion: This study shows that the Ponseti technique is an effective and economical way to treat CTEV in infants under two. The method is safe and straightforward and has a high success rate. The results of this study suggest that the Ponseti technique is an excellent option for treating clubfoot in low- and middle-income countries, such as Pakistan.
Keywords: Congenital talipes equinovarus, Ponseti method, Pirani Score, orthopaedics, treatment, clubfoot.
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