To study the relapse pattern of clubfoot and its management which occured following ponseti method of clubfoot treatment

Abstract

Background: CTEV (Clubfoot) is the most common congenital orthopaedic condition of lower limb and being treated worldwide by the Ponseti method. The treatment is started as soon as possible after birth. Despite treatment with ponseti method many patients develop relapse during follow up. A study was conducted with the aim to find out pattern of relapse and its subsequent management. Methods: It is a Oupatient department based retrospective (Medical Record) along with prospective (Follow-up) study design,during period of June 2017 to November 2018 with medical record data since year 2012 of all enroled CTEV relapse cases. The method used for the management was serial manipulation and long leg plaster of Paris casting after getting the Pirani score at every visit. Results: A total of 30 children (with age 0-5 year) with relapsing CTEV were selected and treated with Ponseti method. Patients showed a significant decrease in the mean Pirani score post treatment. Conclusion: Ponseti method in management of relapsing CTEV showed excellent results (82%) followed by good (17%) and fair (1%).