Accelerated Ponseti method: First experiences in a more convenient technique for patients with severe idiopathic club feet.

Foot Ankle Surg 2020 Apr 16;26(3):254-257. Epub 2019 Mar 16.

Faculty of Medicine and Health Sciences, An-Najah National University, Palestine. Electronic address:

Background: Congenital Idiopathic Talipes Equinovarus (CTEV), or clubfoot, is a complex deformity that involves pathological anatomy in the foot with ankle equinus, hindfoot varus, midfoot cavus and forefoot adductus [1]. Universal agreement is established about Ponseti technique as the initial management for this deformity. This preliminary study aims to investigate the possibility of having a braceable foot through a proposed accelerated Ponseti method by which, manipulations, 5 castings and Achilles tendon tenotomy are implemented in a week.

Methods: This study included 11 patients with 16severe congenital idiopathic clubfeet treated by an accelerated Ponseti method. The method involves manipulation of the deformed foot, and 1st casting in one day, with the 2nd, 3rd, 4th, 5th castings in the 4th, 5th, 6th, 7th day post-manipulation. After the 4th cast removal, Achilles tenotomy was performed with subsequent three-week casting for all patients. Nonparametric tests were used for comparing the Pirani scores before starting the treatment and after removal of final cast.

Results: Five patients had bilateral club foot deformity. Average age at treatment was 54.8 days (range 8-150days). All patients, who had severe congenital idiopathic club feet with a Pirani score of 6, underwent the accelerated Ponseti technique. After removal of the three-week cast, the scores median was 0.59, (range 0-1.5), indicating a correction of the deformity and having braceable feet in all patients without experiencing any short-term complication.

Conclusions: The first step accelerated Pnoseti technique was found to be safe and effective for initial correction of severe idiopathic clubfoot deformity in children below three months of age , though it is an initial study that needs more studies with more follow up data.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.fas.2019.03.003DOI Listing
April 2020
11 Reads

Publication Analysis

Top Keywords

accelerated ponseti
16
ponseti method
12
congenital idiopathic
12
club feet
8
severe idiopathic
8
idiopathic club
8
ponseti technique
8
patients severe
8
4th 5th
8
patients
6
deformity
5
idiopathic
5
accelerated
5
2nd 3rd
4
treatment 548
4
deformity braceable
4
method involves
4
3rd 4th
4
treated accelerated
4
method method
4

Similar Publications