The relapse pattern in clubfoot treated by ponseti method and there treatment modalities

Abstract

Background: Congenital talipes equino varus is the most common congenital foot disorder. Relapse of clubfoot deformity occurs after the treatment by ponseti method. We evaluate the relapse pattern of clubfoot basis of bhasker et al. then treat the patient by ponseti technique.Methods: This is a Retrospective and Prospective study. We are conducting a clubfoot clinic since 2013 in Department of Orthopaedics Gandhi medical college Bhopal. We register all clubfoot patient at our clubfoot clinic on his/her first visit. All the clubfeet assessed with pirani scoring system on the initial presentation to our institution and treat by ponseti method. During this study there were a total of 558 children with 713 idiopathic clubfeet registered at our clinic. A total of 49 idiopathic clubfeet in 34 children presenting with relapse were included in our study. Results: We found that The incidence of relapse feet in our study is 6.87% (49 feet out of 713 feet The total involvement of relapse feet on the basis of laterality, the unilateral 403 feet out of 713 feet and relapse is 19 feet (4.71%) and bilateral involved feet 310 out of 713 & there relapse is 30 feet (9.68%). The incidence of relapse feet more on bilateral feet involvement. The post treatment pirani score after relapse treatment is 0. Conclusion: Ponseti technique is a simple, effective, inexpensive method for treatment of clubfeet there is, no requirement of special setup with limited resources and less rate of recurrence/complication than the surgical treatment It has been concluded that Ponseti method is a effective technique to treat congenital idiopathic clubfeet with success rate is 91% in our study.