RECURRENCE OF DEFORMITY IN IDIOPATHIC CTEV TREATED BY PONSETI TECHNIQUE

Tushar kanti Ghorai, Ajay Kumar
2020 INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH  
Congenital talipes equinovarus (CTEV) or clubfoot, is one of the commonest congenital deformity . At present ,Ponseti method is most commonly used successful reliable , essentially conservative technique for correction of CTEV deformity and successful in upto 98% of feets. However there is a chance of the relapse or recurrence . A prospective and observational study after getting institutional ethical clearance was conducted in the department of Orthopedics, at COM and JNM Hospital, Kalyani,
more » ... ai, WB, between August 2018 to July , 2020 including baby with club foot . Total study sample size was 20 according to inclusion and exclusion criteria. The mean age of presentation was 4 ± 2.51 week . The male to female ratio was 1.86:1. Bilateral feet involvement was 50% . In unilateral involvement , right side was affected 70%, left side was affected in 30 % cases. Family history of CTEV was seen in 20% cases. Mean body weight of babies was 2.49 ± 0.17kg . At presentation , mean pirani score was 5 ± 0.48. Tenotomy was done 75% cases . Relapse rate was 15 %, mean age of relapse was 7 ± 1.73205 month , occurred in most common in left side (66%). There was history of non-adherence of abduction brace for >2 month in all three patients adduction score was 0.5 in all child . Most common deformity relapse was adduction of forefoot. Ponseti method is cost effective especially in developing country . Strict adherence to brace protocol and good communication between heath care persons and parents reduces incidence of relapse. Relapse is relatively common even in Ponseti method and most of cases , it manageable by conservative treatment like cast.
doi:10.36106/ijsr/5908786 fatcat:7qeeermlhjfzparseykm4rcffa