Manipulation and renotopy for correction of congenital flexible type clubfoot by ponseti Technique
Authors: Liton Kumar Roy, Md ABM Mostafa, Kaoser Bin Siddique, Ezaz Mahmuds, H M Baker
Summary:Clybfoot is a congenital deformity, affecting about one to two of 1000 children. The ponseti methid hi increasingly been adopted worldwide as the preferred method of ianaging idiopathic clubfoot deformity Treatment consists of initial correction of the deformity, followed by prolonged’Orthosis treatment to maintain the correction obtained by plaster and perc_utanious tenotomy. The purpose of this study was to evaluate the results of the manipulatiin and Tenltomy for correcting congenital flexible type of clubfoot by pinieti method. This retrospective cohirt siudy ione in Comilla medical college hospital from the pr”riou, records in this institution from January 20ll to January 2013. All patients were treated by serial manipulations and castingfoltoiing the principles of the ponseti method. Average age offollow uf,ro, : I from 01 to 03 years. There were ZiO p”atients, some with unilateral and some with bilateral deformities (323 clubfeet). Average number ofcasts requiredfor correctionwas 5 (range: 4. to 6) Average post-tenotomy dorsiflexion was 15 degrees.Out of 373 clubfeet; 371 were ,oiuct”d by ponseti method. Rest two cllubfeet required a posterior_medial release (PMR) for insufficient initiat conection. This study demonstrates that the ponseti method is very effective for tie correction of patients with clubfoot especiallyflexible type. (Comilla BMA Med J 2013; 29:2 t_24)
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