Abstract

MANAGEMENT OF CLUB FOOT WITH PONSETI TECHNIQUE

Dr. Mohammed Hussein Khudhair Abbas*, Dr. Saeed Raheem Alwan, Dr. Abbas Hasan Altaweel

ABSTRACT

Background and Objective: As a highly common congenital deformity which can lead to serious walking problems, clubfoot has long been treated using the Ponseti method which is usually carried out without complete percutaneous tenotomy of tendoachillis. The present study was aimed at investigating the effects of early management of clubfoot by the Ponseti method with a complete method. For this purpose, successive casts were applied for them for 3 weeks, with changing the casts on a weekly basis. For those who did not respond to the first 3 weeks of casting, the classical Ponseti method was utilized along with complete percutaneous tenotomy of tendoachillis based on the theory of stem cell regeneration. Then, the casting was performed for 6 weeks, followed by foot abduction brace and maintained using a foot abduction brace (Dennis brown splint) until school age 5-6 years. The collected data were analyzed using the 2 test through SPSS 22.0. Results: 29 neonates with idiopathic clubfoot in Hospital were studied and followed up from September 2018 to March 2020. Show tables. Conclusion: Ponseti method along with complete percutaneous tenotomy of tendoachillis was proved to be an efficient method to treat clubfoot during the first few weeks of life.

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