Title: A Hospital Based Study of Ponseti Method versus Accelerated Ponseti Method as Conservative Treatment for Congenital Talipes Eqinovarus
Authors: Suraj Kumar Jain, Abhishek Sahu
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.163
Abstract
Objective: To compare between Ponseti method and accelerated Ponseti method as conservative treatment of ctev by assessing Pirani scoring system in terms of recovery, time taken, number of serial castings and requirement of tenotomy.
Method: Prospective Randomized controlled trial where 80 patients randomly selected into 2 groups 40 each, Group A treated by Ponseti method and Group B treated by accelerated Ponseti method. Group A underwent weekly manipulation and cast and Group B underwent twice weekly manipulation and cast. Pirani score was documented at every visit at presentation, before serial casting after removal of previous cast till Pirani score less than 1. Then after followed by tenotomy and final cast.
Results: 40 % cases were bilateral.63% male child were affected. All deformities were corrected in 92 % in Group A and 90% in Group B. Average no. of casts required were 5.5 in Group A and 5.8 in Group B. The difference was found to statistically not significant.
Conclusion: Accelerated ponseti method is as good conservative method for ctev with added advantages of shorter duration of casting and speedy recovery.
Keywords: Accelerated Ponseti, clubfoot, standard Ponseti.
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