Management of Congenital Club Foot

Nouman  Maqbool; Shahid  Mahmood; Muhammad  Taimur; Kamran Faisal Bhopal

doi:10.29054/apmc/2011.512

Nouman Maqbool Assistant Professor, Orthopedic Foundation University Medical College& Consultant Orthopedic Surgeon, Fauji Foundation Hospital, Rawalpindi
Shahid Mahmood Associate Professor of Surgery Foundation University Medical College Rawalpindi
Muhammad Taimur Registrar Surgery Fauji Foundation Hospital, Rawalpindi
Kamran Faisal Bhopal Student 4th Year MBBS Quaid-e -Azam Medical College, Bahawalpur

DOI: https://doi.org/10.29054/apmc/2011.512

Keywords: Clubfoot, Kite and Lovell’s method, Ponseti’s method, TEV

Abstract

Aims and Objectives: To determine the effectiveness of Ponseti technique with the kite method in the management of congenital club foot. Study Design: It was a prospective interventional study. Place and Duration of Study: The study was conducted in the department of Orthopedic Surgery Foundation University Medical College and Fauji Foundation Hospital Rawalpindi from 1^st October 2009 to 31^st June 2010. Results: Total of 46 patients with grade 2 deformity was included in the study who meets the inclusion criteria. Patients were randomly divided into two groups of 23 each. Majority of the patients (65 %) were between 05-09 weeks of age. The mean age was recorded as 7.7 weeks with S.D of 5.21. TEV is a predominantly male’s disease as 65 % patients in this study were males, while 35 % were females in group-A. Similarly in group-B, males were 78% and 22% were female. Outcome of both the procedures was recorded at three months follow up. In group-A success rate was recorded 74% as compared to group-B in which 87 % patients were found in satisfactory range with more than 25 passive range of dorsiflexion at ankle joint. Conclusion: Conservative Ponseti method is the best option for the management of Congenital Talipes Equino Varus (clubfoot) for grade 2 deformity, when starts early. This not only corrects the deformity, preventing surgical intervention but also lessens the financial burden over the parents as well as on the health system.