Accelerated Ponseti technique: efficacy in the management of CTEV

Barik, Sitanshu; Nazeer, Muhammed; Mani, Babloo Thomas

doi:10.1007/s00590-018-2353-1

Cited by 14 publications

(18 citation statements)

References 17 publications

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“…Also, there was no statistical difference between both of them. This result supports the results of other studies 8,10,[13][14][15][16][17] and it can be concluded that the accelerated protocol is as effective as the conventional one. The mean number of the casts applied for both groups did not significantly differ, but the mean number of days spent in the cast did that.…”

Section: Resultssupporting

confidence: 91%

“…The mean number of complications for the patients included in this study was relatively low compared to the results of other studies. 8,10,16 The difference between both groups regarding the mean number of complications that occurred was statistically not significant. Therefore, it can be concluded that the accelerated protocol was as safe as the conventional one.…”

Section: Resultsmentioning

confidence: 81%

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Accelerated versus conventional Ponseti protocol for the treatment of idiopathic talipes equinovarus deformity: A short term follow up in Iraq

Doski

Jamal

2021

Zanco J. Med. Sci.

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Background and objective: The accelerated protocol of Ponseti method was suggested to shorten the period of treatment of the conventional one for the cases of talipes equinovarus deformity. This study aimed to compare the accelerated protocol of Ponseti method in the treatment of clubfoot deformity with the conventional one. Methods: A prospective comparative study was conducted for infants less than six months with congenital talipes equinovarus deformity. The patients were randomized to either Group 1 (casts changed every week, conventional protocol of Ponseti method) or Group 2 (twice weekly, accelerated one). Pirani score was used to assess the severity of the deformity at presentation, at time of last cast removal, and at the last follow up visit (6th months). Results: The patients included were 48 cases with 79 feet. Group 1 (39 clubfeet) had a mean Pirani score of 5.6 (± 1.15) at presentation, which dropped to 0.47 (± 0.41) when the last cast was removed. In Group 2 (40 clubfeet), it dropped from 5.57 (± 0.83) to 0.77 (± 0.01). The result of each treatment protocol was significant, but the difference between them was not significant. Five cases (three patients aged more than three months) of Group 2 needed eight casts to reach an acceptable position of correction. The difference between the mean number of casts applied in Group 1 (5.09) and Group 2 (5.82) was statistically not significant. However, the difference between the mean number of days spent in the cast was significant. The complications occurred in 12 out of 79 feet, with no statistically significant difference between both groups. Conclusion: The accelerated protocol of Ponseti method for treating clubfoot deformity is as effective and as safe as the conventional one. It shortens the time required to complete the treatment program. Those who present lately (beyond the age of three months) may require an additional number of casts. Keywords: Clubfoot; Congenital talipes equinovarus; Ponseti; Accelerated; Cast.

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Section: Resultssupporting

confidence: 91%

Section: Resultsmentioning

confidence: 81%

Accelerated versus conventional Ponseti protocol for the treatment of idiopathic talipes equinovarus deformity: A short term follow up in Iraq

Doski

Jamal

2021

Zanco J. Med. Sci.

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“…Average number of casts required were 6.55 in group A while 6.99 in groupB.70% percutaneous tendo-Achilles tenotomy was done in group A and 80% in group B ( There are many studies where twice weekly casting done. A study by Barik, Nazeer and Mani 9 showed that accelerated method of casting helps to increase compliance and to reduce travel and treatment costs. Functional outcome after 5-year follow-up is same in both standard Ponseti and accelerated Ponseti methods.…”

Section: Resultsmentioning

confidence: 99%

Accelerated method of casting for correction of clubfoot applicable?

Alam¹,

Adeel²,

Hussain³

et al. 2021

TPMJ

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Objective: To see the results of accelerated method against standard Ponseti method for correction of clubfoot by using Pirani scoring system. Study Design: Randomized controlled trial. Setting: Children’s hospital and the institute of child’s health, Lahore. Period: June 2019 Dec 2019. Material & Method: 100 patients included in this study and divided into two groups. In group A (50 patients) correction was done by standard Ponseti method while accelerated method was applied in group B(50 patients). Weekly serial casting was done in group A while twice weekly in group B. Assessment was done by Pirani scoring system in both groups at beginning of correction, at each cast and at end of correction. Results: Average casting time for group A was 38 days while it was 20 days in group B. Correction rate was 94% in group A and 89% in group B. This difference was not found to be statistically significant (p=0.396). Conclusion: Accelerated method is applicable for correction of clubfoot because treatment time is shorter and results are similar to standard Ponseti method. Hence, this method should be adopted in Pakistan so that poor and rural parents can easily manage travel and financial issues because only 2 to 3 weeks are required for whole casting treatment.

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“…Врожденная эквиноварусная деформация стопы (ВЭВД), также известная как косолапость,одна из наиболее распространенных врожденных деформаций, встречающаяся у 1-6,8 из каждых 1000 живорожденных детей [1]. При несвоевременном лечении эта патология может привести к ригидности, слабости и хронической боли и без проведения серии ревизионных операций обрекает пациентов на инвалидность [2].…”

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“…Было доказано, что этот метод, который можно применять у пациентов в возрасте одного дня, помогает корректировать косолапость у младенцев, избегая обширных и серьезных операций. С тех пор еженедельные корректирующие манипуляции и гипсовые повязки по всей длине ноги были выбраны в качестве стандартного лечения, применяемого в современную эпоху как лучший вариант поэтапной коррекции всех компонентов косолапости [1,3].…”

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Accelerated versus standard Ponseti method for idiopathic congenital talipes equinovarus: a systematic review and meta-analysis

Savio

Maharjana

2021

Pediatr Traum Orthop Reconstr Surg

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Background. The standard Ponseti method is a mainstay of treatment for children with congenital talipes equinovarus (CTEV); involving weekly manipulation and long-leg casting, this approach has proven to produce good long-term outcomes. However, it takes approximately 45 weeks to correct all deformity components, making compliance a challenge for patients with limited economic resources and difficulty reaching healthcare centres. Aim. This study aims to compare treatment outcomes between standard Ponseti and an accelerated protocol applying the same casts but changing them more frequently, every 2-5 days for the CTEV pathology. Methods. A systematic search was conducted based on PRISMA guidelines to identify relevant studies through PubMed, Google Scholar, and Cochrane Database. A total of seven studies (324 patients, 408 feet) were included in the meta-analysis. Five outcomes were compared between the two procedures: post-procedure Pirani score, relapse rate, tenotomy rate, number of casts, and total duration of treatment. Results. For total duration of treatment, the accelerated Ponseti method was superior to standard Ponseti (24.25 vs. 41.54 days, p 0.00001). On the other hand, it achieved comparable efficacy as measured by post-procedure Pirani score (1.01 vs. 0.87, p = 0.19). Furthermore, the two procedures were also comparable in terms of the total number of casts needed (4.94 vs. 5.05, p = 0.76), tenotomy rate (73.29% vs. 65.27%, p = 0.07) , and relapse rate (27.72% vs 25.23%, p = 0.56). Conclusion. Accelerated Ponseti offers similar efficacy and shorter duration of treatment compared to the standard Ponseti technique.

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Accelerated Ponseti technique: efficacy in the management of CTEV

Cited by 14 publications

References 17 publications

Accelerated versus conventional Ponseti protocol for the treatment of idiopathic talipes equinovarus deformity: A short term follow up in Iraq

Accelerated versus conventional Ponseti protocol for the treatment of idiopathic talipes equinovarus deformity: A short term follow up in Iraq

Accelerated method of casting for correction of clubfoot applicable?

Accelerated versus standard Ponseti method for idiopathic congenital talipes equinovarus: a systematic review and meta-analysis

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