Ponseti Technique for the Management of Congenital Talipes Equinovarus in a Rural Set-Up in India: Experience of 356 Patients

Malhotra, Rohit; Mohapatra, Ashutosh; Arora, Geetika; Choudhury, Priyam; Joshi, Hitesh; Patel, Pranav

doi:10.3390/children5040049

Cited by 6 publications

(4 citation statements)

References 26 publications

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“…Rohit malhotra et al ( 2018)) done a study in rural setup of India in 356 patients reported 94.5% good results [31]. Similar pa ern of results were also observed in many studies [24,32,33].…”

Section: Resultssupporting

confidence: 63%

Outcomes of Ponseti technique in management of idiopathic clubfoot in Infants - A short term study of Ninety feet in rural India

Kumar¹,

Singh²,

Singh³

et al. 2020

J Bone Joint Dis

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IntroductionCTEV also commonly known as clubfoot is a complex and one of most common deformity of foot and ankle in paediatric age group , having incidence of 1 per 1000 childbirth [1]. In this deformity male children are more commonly affected; male: female ratio 2:1 and bilateral foot involvements is in 50% of cases [2,3]. ere are 2 types of clubfoot: congenital and acquired. Congenital type is further categorized into idiopathic and non idiopathic. Idiopathic type is characterized by response to conservative treatment, whereas non idiopathic clubfoot is congenital deformity due to teratogenic anomalies like known and unknown neurological disorders, genetic syndromes, and myopathies which show poor response to conservative treatment.Acquired type clubfoot develop due to traumatic, neurogenic and vascular anomalies [4]. In CTEV there are four components: ankle equinus, hindfoot varus, forefoot adductus, and midfoot cavus [5]. ese components can be present in one case from mild to severe form and can lead to moderate to severe morbid conditions if deformity is le untreated. Neglected cases walk on the sides and/or tops of their feet, develop callosities, skin and bone infections, inability to wear standard shoes, limited mobility and employment opportunities [6]. To manage this complex congenital condition, our aims are to correct all components of deformity and foot must be corrected in painless, plantigrade, pliable, and cosmetically & functionally acceptable position so patients can lead a disability free life

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Section: Resultssupporting

confidence: 63%

Outcomes of Ponseti technique in management of idiopathic clubfoot in Infants - A short term study of Ninety feet in rural India

Kumar¹,

Singh²,

Singh³

et al. 2020

J Bone Joint Dis

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show abstract

“…[4][5][6] Also, the results of our study are comparable to other studies done about this technique. 7,8 The mean age of children at diagnosis was 7.8 months with a range from 3 days to 36 months. 72.6% (n=61) children were below six months of age, and 52.5% (n=32) of these had bilateral clubfoot.…”

Section: Discussionmentioning

confidence: 99%

Disability prevention with early screening and intervention among children with congenital clubfoot in India

Aggarwal

Aggarwal²

2020

Int J Res Orthop

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Background: Congenital clubfoot has an incidence of 1-9/1000 live births. Untreated clubfoot leads to physical, social, psychological, and financial burden on the family and society. Early intervention can prevent disability in the future. The aim of this study is to assess the effectiveness of an early intervention and conservative management to treat congenital clubfoot and prevent disability.Methods: We conducted a retrospective analysis at an urban multispecialty hospital in North India among children with a diagnosis of congenital clubfoot managed with Ponseti technique (manipulation, casting, tenotomy and bracing). Descriptive statistics and chi-square test were used to measure association between variables.Results: We had a total of 125 feet (41 bilateral, 43 unilateral). 78.5% (n=66) children were below 12 months of age with a mean age at diagnosis of 7.8 months. 70.2% (n=59) children were corrected with less than 5 casts to achieve complete correction. Tenotomy was required in 69% of children (n=58) and was statistically significant. A 100% success rate was achieved in our study.Conclusions: Early intervention is essential to correct idiopathic/ congenital clubfoot, prevent disability and improve quality life in adulthood. National programs with a focus on prevention, surveillance, advocacy, and research are vital for universal health coverage.

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“…Instead, use gentle manipulation to correct the deformity. The costs incurred are also more affordable than surgical treatment (Malhotra et al, 2018;Mustari et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Cost-Utility Analysis of CTEV Treatment by Ponseti Method in Siaga Utama Orthopedic Hospital

Zubaidi,

Pribadi

2023

jika

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Congenital talipes equinovarus (CTEV), or true clubfoot, is a foot deformity. The incidence of CTEV varies depending on race and gender. Traditionally, surgical intervention has been the treatment of choice for CTEV at a considerable cost. The Ponseti is a CTEV treatment method that does not use surgery and anesthesia. Instead, it uses gentle manipulation to correct the deformity. It is also more affordable than surgical treatment. Therefore, this study aims to explain the Effect of CTEV Treatment Costs with the Ponseti Method on Patient Quality of Life at Siaga Utama Orthopedic Hospital. This study uses quantitative methods. This study used a retrospective study with a sample of CTEV patients at Siaga Utama Orthopedic Hospital from February 2022 -February 2023. The author examined the effect of CTEV treatment costs on quality of life (QALYs). The results showed that the cost of treatment with the onset method positively impacted the patient's quality of life. The cost of treatment with the Ponseti method proved to be cheaper. However, it can vary depending on many factors, such as location, type of disease or condition, the severity of the situation, and so on. In addition, the Ponseti method is time-consuming and requires specialized skills from the therapist to achieve optimal results.

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Ponseti Technique for the Management of Congenital Talipes Equinovarus in a Rural Set-Up in India: Experience of 356 Patients

Cited by 6 publications

References 26 publications

Outcomes of Ponseti technique in management of idiopathic clubfoot in Infants - A short term study of Ninety feet in rural India

Outcomes of Ponseti technique in management of idiopathic clubfoot in Infants - A short term study of Ninety feet in rural India

Disability prevention with early screening and intervention among children with congenital clubfoot in India

Cost-Utility Analysis of CTEV Treatment by Ponseti Method in Siaga Utama Orthopedic Hospital

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