THE RULE OF PONSETI TECHNIQUE FOR CORRECTION OF RECURRENT CASES OF CONGENITAL TALIPES EQUINO VARUS | ||||
| Egyptian Journal of Orthopedic Research | ||||
| Article 2, Volume 5, Issue 1, March 2025, Page 11-17 PDF (235.64 K) | ||||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||||
| DOI: 10.21608/ejor.2024.418179 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Marwan Shams Eldin Mohammed; Mohamed A. Mahmoud Ettawe; Elshazly Saleh Mosa; Abdelmageed Aboelabbas Abdelmageed; Ahmad Ibraheem Addosooki | ||||
| 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 | ||||
| Keywords | ||||
| Congenital Talipes Equino Varus; CTEV; Ponseti; Pirani score; Casts | ||||
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