Comparison of Accelerated vs Standard Ponseti Technique Among Children's Having Congenital Talipes Equinovarus

Abstract

Background: The resurgence and long duration of treatment of the Ponseti method in recent years has been punctuated by less than favourable long-term outcomes for surgically treated feet. Objectives of the study were to compare the two treatment techniques accelerated vs standard Ponseti technique among children’s having Congenital Talipes Equinovarus. Methods: This was two years randomized control trial study carried out among total 104 idiopathic congenital talipes equinovarus patients in Orthopaedics and Spine Unit, Hayatabad Medical Complex, Peshawar. A convenient sampling technique was used in this study. Informed written consent was taken from each respondent. Patients in group A was subjected to accelerated ponseti technique and patients in group B was subjected to standard ponseti technique. At one month after treatment, all the patients were re assessed on the basis of pirani score. Data was collected and analyzed using SPSS version 21. Results: This study included a total 104 clinically diagnosed Congenital Talipes Equinovarus patients with mean age 5.5±2.1 months and 52 in each treatment group. Out of total 104 patients 68 (65.4%) were male and 36 (34.6%) were female. They’re found significant difference in the mean ponseti scores of these two-group p=0.042 provided comparatively low mean pirani score in accelerated ponseti group. All female child in accelerated ponsati group was responded to the treatment with 100% effectiveness rate. The difference of effectiveness of treatment was significant p=0.015 for children age range 4–8 months divided in two treatment group with good effectiveness 80.8% in accelerated ponseti group. Conclusion: Accelerated ponseti technique is more effective than standard ponseti technique for Congenital Talipes Equinovarus.

Original versus Accelerated Ponseti‏ ‏‏‏Techniques in Treatment of Congenital ‎‏‎Talipes Equinovarus

“…Radler et al [19] , Porecha et al [20] , and others [21,22] reported similar tenotomy rates, emphasizing the method's widespread applicability. Hussain's et al [12] study noted a statistically significant faster improvement in Pirani scores in the accelerated group, particularly among certain age groups and genders, suggesting potential areas for tailored approaches.…”

“…The sample size was computed, utilising G*Power 3.1.9.2. Hussain et al [12] contrasted the standard Ponseti technique and the accelerated Ponseti Technique in their investigation of children with congenital talipes equinovarus. This research was utilised as the foundation for the present inquiry.…”