Profile of Pediatric Patients With Clubfoot Attending Tertiary Care Hospital: A Descriptive Study

G, Bharat; Harish, Petnikota; Ramesh, K

doi:10.15373/22778179/august2014/100

Cited by 1 publication

(3 citation statements)

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“…The documented mean number of casts required to achieve correction in the literature varied between 3 and 9. [ 11 , 18 , 19 , 20 , 21 ] In this study, there was no significant linear relationship between the initial Pirani score and the number of casts. However, none of the feet with a Pirani score of less than or equal to 2.5 required more than five casts, whereas the initial Pirani score of 5 and above required more than five casts.…”

Section: Discussioncontrasting

confidence: 52%

“…Bharat et al . [ 21 ] reported an average Pirani of 5.1. There is no clear reason for the lower Pirani score seen in this study compared with the above except to say that clubfoot is milder in African babies.…”

Section: Discussionmentioning

confidence: 99%

“…Bharat et al . [ 21 ] had a success rate of 96.12%. The difference might be due to the age of presentation, age of commencement of treatment, and compliance with the Ponseti brace protocol.…”

Section: Discussionmentioning

confidence: 99%

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Management outcome of congenital talipes equinovarus (clubfoot) using Ponseti protocol at Lagos University Teaching Hospital

Enweluzo,

Ohadugha,

Ezenwa-Ahanene

et al. 2024

JWAS

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Background: Idiopathic clubfoot occurs commonly in children with a prevalence of 1 in 1000. The Pirani scoring system, which consists of a midfoot contracture score and hindfoot contracture score, is traditionally used in assessing the severity of clubfoot deformity. Ponseti protocol is used in the management of clubfoot deformity. The study aimed to evaluate the outcome of the management of clubfoot using the Ponseti protocol and to correlate the outcome with the initial Pirani score. Materials and Methods: Eighty-two children aged 1 week–2 years with 128 idiopathic clubfeet were recruited into the study. The severity of their clubfoot deformities was scored using the Pirani scoring system on recruitment. They were managed with weekly serial manipulation and cast application with or without tendon-Achilles tenotomy according to Ponseti protocol. Results: The average initial Pirani score was 3.6 ± 0.9. The average number of casts used was 5.9 ± 1.3 (range: 4–9 casts). Tenotomy was done in 51.56% of the feet. The group that required tenotomy required more casts and as such longer duration of treatment than the “no tenotomy” group. There was a relapse rate of 2% in the feet of the compliant group, whereas the relapse rate was 69% in the group that was not compliant with the use of foot-abduction brace. The success rate at 6 months follow-up was 84.4%. Conclusions: Ponseti protocol is an excellent method of management of idiopathic clubfoot, and the Pirani scoring system was useful in assessing the initial severity and the outcome. The initial Pirani score correlates with the duration of treatment.

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