MANAGEMENT OF IDIOPATHIC CLUBFOOT BY PONSETI METHOD: TIKUR ANBESSA SPECIALIZED HOSPITAL FIVE YEAR EXPERIENCE.

Authors

  • Mengistu G Mengesha
  • Birhanu Ayana
  • Mengestie M Belay
  • Wubalem Zewde
  • Peter J.

Abstract

Methods: A five-year retrospective study was conducted. Data analysed with SPSS version 24 and result summarized by texts, tables, and figures. The association between initial Pirani score and number of casts was assessed using the Pearson correlation coefficient with the level of significance set at P<0.05.

Results: A total of 526 patients with mean age at presentation of 15.3 weeks were included. Male account for 387 (73.6%).  More than two-third (70.7%) were born in the health facilities. Nearly half of them (47%) had bilateral involvement followed by right side (27.5%). In average, 5.94 corrective casts were needed to correct the deformity. According to Pearson correlation coefficient, a positive correlation was observed among number of casts to correct the deformity with initial pirani score and age at presentation (r=0.225, p<0.001; r=0.178, p<0.001). Among 587 feet for which tenotomy performed, only 186 tenotomy (31.7%) was done appropriately according to the criteria (HFCS >1 and MFCS = 0).

Conclusions: Ponseti method of club foot treatment is effective in treating idiopathic club foot in our setup. Close monitoring of tenotomy decision based on pirani scoring should be made by consultant orthopedic surgeon in order to prevent unnecessary tenotomy.

Key words:  Idiopathic Clubfoot, Ponseti treatment, Number of casting, Pirani scoring system

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Published

2020-12-16