Evaluation of the efficacy and functional outcome between standard Ponseti and accelerated Ponseti in the management of CTEV: a comparative study
Keywords:
Accelerated ponseti method, Idiopathic clubfoot, Standard ponseti.Abstract
Aim: The aim of the study to analyze the efficacy and functional outcome between standard Ponseti and accelerated Ponseti in the management of CTEV. Material and methods: This was an analytical cross sectional study conducted in the Department of Orthopaedics Madhubani Medical College and Hospital, Madhubani, Bihar, India from August 2019 to January 2020, after taking the approval of the protocol review committee and institutional ethics committee. A total of 100 children (120 feet) were treated. Among these 100 children, 50 children (60 feet) were treated by standard Ponseti method and 50 children (60 feet) were treated by accelerated Ponseti method. Results: In the standard Ponseti group, 8 children had bilateral clubfoot, 17 were unilateral on left side, and 17 were unilateral on right side. Among 50 children, 33 (66%) were male and 17 (34%) were female. Mean age at presentation was 25.3 days. The mean Pirani score at presentation was 4.60. The mean number of days the child was in cast was 53.4. Eight cases (16%) had a relapse. Mean Pirani score at 3 months follow-up was 0.11 In the accelerated Ponseti group, 10 children had bilateral clubfoot, 15 were unilateral on left side, and 15 were unilateral on right side. Among 50 children, 27 (54%) were male and 23 (46%) were female. Mean age at presentation was 27.5 days. Mean Pirani score at presentation was 4.71. The mean number of days the child was in cast was 40.12. Mean Pirani score at 3 months follow-up was 0.13. Conclusion: In our study, idiopathic clubfoot was seen more common in male child than female child and concluded that accelerated Ponseti method is as effective as standard Ponseti method in the treatment of idiopathic CTEV.
Keyword: Accelerated ponseti method, Idiopathic clubfoot, Standard ponseti.