Outcome of treatment with modified Ponseti technique in atypical congenital talipes equinovarus

Sanjeev Gupta; Farooq Bhutt; Manoj Kumar; Maneer Ahmad

doi:10.18203/2320-6012.ijrms20205655

Authors

Sanjeev Gupta Department of Orthopedic, Government Medical College Jammu, Jammu and Kashmir, India
Farooq Bhutt Department of Orthopedic, Government Medical College Jammu, Jammu and Kashmir, India
Manoj Kumar Department of Orthopedic, Government Medical College Jammu, Jammu and Kashmir, India
Maneer Ahmad Department of Orthopedic, Government Medical College Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20205655

Keywords:

Modified ponseti technique, CTEV, Achilles tendon tenotomy

Abstract

Background: The atypical congenital talipes equinovarus (CTEV) patients tend to have a different clinical foot presentation with small great toe, deep transverse crease of sole, tender swollen dorsum of foot and rigid equinus.

Methods: This study was conducted in GMC Jammu to evaluate efficacy of modified Ponseti technique in atypical CTEV patients. It was a prospective study and the patient data was collected during OPD visits of patients from August, 2018 to June, 2020. Twenty-one patients were diagnosed as atypical CTEV and were managed with modification of conventional Ponseti technique and percutaneous release of achilles tendon was done in all patients. Three patients were lost to follow-up. Hence, the final number of study participants was 18 (n=18).

Results: With modified Ponseti technique, functional correction was achieved in all the patients in our study. The average number of casts required was 8 (range; 5-10). At final follow-up visit, all feet are functionally corrected. Only one case of relapse was seen.

Conclusions: Early diagnosis and treatment with modified Ponseti technique is an effective and easy method of treatment in atypical CTEV.

Metrics

Metrics Loading ...

References

Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA. Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg. 2004;86:22-7.

Lehman WB, Mohaideen A, Madan S, Scher DM, Van Bosse HJ, Iannacone M, et al. A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot. J Pediatr Orthop. 2003;12(2):133-40.

Colburn M, Williams M. Evaluation of the treatment of idiopathic clubfoot by using the Ponsetimethod. J Foot Ankle Surg. 2003;42(5):259-67.

Carroll NC. Preoperative Clinical Assessment of Clubfoot. In: Simons GW, ed. The clubfoot: the present and a view of the future. New York, NY: Springer-Verlag. 1994:97-98.

Dimeglio A. Classification of talipes equinovarus. In: Simons GW, ed. The clubfoot: the present and a view of the future. New York, NY: Springer-Verlag; 1994:92-93.