TITLE:
Results of Ponseti Method in the Management of the Congenital Clubfoot
AUTHORS:
Tidahy Ando Servino, Ranaivondrambola Ando Tatiana, Raoninah Hanitriniony, Solofomalala Gaëtan Duval
KEYWORDS:
Clubfoot, Outcomes, Ponseti, Tenotomy
JOURNAL NAME:
Open Journal of Therapy and Rehabilitation,
Vol.10 No.3,
August
5,
2022
ABSTRACT: Background:Clubfoot is
a debilitating pathology and a source of abnormal gait in children. Treatment with
the Ponseti method is the treatment used in the management of congenital clubfoot
in children under 9 years old. This study aims to identify the proportion of children
with clubfoot supported by the Ponseti method and to evaluate their effectiveness. Materials and Method: A multicenter retrospective descriptive study for six
(06) months from June 1st to November 30th, 2019 concerning the evaluation of the
Ponseti method in the management of clubfoot in Madagascar was conducted. Results: One hundred ninety-one (191) children with club feet were screened during the study
period. One hundred and fifty children, or 226 congenital equine varus clubfoot
were treated with the Ponseti method during the study period. The male gender was
the most affected compared to the female gender with a sex ratio of 1.75. The clubfoot
was bilateral in 50.66% of cases and idiopathic in 92.66%. The initial Pirani
score was on average (±SD) 5.04/4.98 (±1.22/1.20). A proportion of 23.33% of cases
of recurrence was recorded at 3 months of use of brace abduction splint. Conclusion: In Madagascar, the incidence of congenital clubfoot remains
relatively low but clubfoot is still the main limitation of walking and a lack of
footwear in children. Ponseti method is the gold standard in the management of this
pathology. However, it requires a long-term follow-up.