Comparative Study between Accelerated Ponseti Protocols in the Management of Idiopathic Club Foot | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 1, January 2025 | ||
| DOI: 10.58675/2682-339X.2869 | ||
| Authors | ||
| Ahmed Abd El Salam; Mahmoud Ismail; Osama Khedr | ||
| Orthopedic Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Congenital clubfoot is a complex three-dimensional deformity that includes hindfoot varus, forefoot adductus, midfoot cavus, and ankle equinus. Aim and objectives: To estimate the outcome of two accelerated Ponseti protocols in the management of idiopathic club foot. Patients and methods: This prospective investigation has been performed at the Orthopedic Department in Al-Zhraa University Hospital - Al-Azhar University and Sporting Students Hospital for Health Insurance., involving 25 infants in their first three months of life who were born with CTEV deformity in one or both of their feet, divided into: Group A: 20 feet had cast two times weekly. Group B: 20 feet had first casting on the first day of the management, then daily casting from the fourth-day post-manipulation. Result: There was statistically insignificant variance among the groups under investigation in terms of score after first cast, second cast, third cast, fourth cast, fifth cast, after removal final cast, and number of casts p>0.05 as well as, no statistically significant variance among investigated groups regarding duration of follow up, age and Pirani score in final follow up, while there was statistically significant variance regarding score after sixth cast p<0.05. Conclusion: Both accelerated PONSETI techniques were effective and safe for the initial treatment of idiopathic clubfoot deformity in kids and confirmed the outcomes reported by the Kaptan et al. study, but still need more follow-up of the patients to confirm the results in the long term. | ||
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