Evaluation of Foot Bimalleolar Angle in the Management of Congenital Talipes Equinovarus

Correlation of Foot Bimalleolar Angle with Pirani Scoring System in Clinical Evaluation of Congenital Talipes Equinovarus

“…The Pirani scoring system has been the most widely used clinical system so in this study, groups were divided on the basis of the severity denoted by Pirani score. The three groups made on the basis of severity of the Pirani's score were found to have average FBM of 75.75º, 67.62º and 58.28º in groups I, II and III respectively, which are comparable to the studies done previously by Jain et al 12 and Jain et al 11 The three groups found to have overlapping values of foot bimalleolar angle as also noticed by Jain et al…”

“…The children older than 18 months, syndromic club foot , CTEV previously treated by soft tissue release and children with associated lower limb anomalies affec ting casting or scoring were excluded. The foot of the child was examined clinically by three surgeons who also verified the podograms on which the foot bimalleolar angle was calculated according to method described by Jain et al 11 and Jain et al 12 The foot was kept plantigrade over white plain sheet on hard base held by an assistant from upper leg. The tips of malleoli were marked on the sheet by dropping pencil on the paper perpendicular by palpating the malleolar tip one by one.…”

Analysis of Correlation of Foot Bimalleolar Angle and Pirani Scoring for its Predictive value in the management of Idiopathic CTEV by Ponseti Method

“…As far as analysis of FBA parameter is concerned, Jain et al (2001) showed improvement from grade III to grade I in 93% of cases, while in present study we were able to bring it in 95.3% of Ponseti case. The FBA improvement achieved in Ponseti group can be associated with gradual correction of varus tilt of hind foot with abduction of foot and thus avoiding pronation of hindfoot 25 .…”

Validation of Ponseti method for clubfoot deformity correction

“…Amongst unilateral cases predominance of right side involvement was seen which again corresponds with other studies. 21 Clinical parameters like M-L ratio, foot equinus, foot cavus, heel varus, fore foot adduction and bimalleolar angle all showed statistically significant improvement after serial casting with/without tenotomy after completion of manipulation phase in 189 feet (P <0.001) ( Table 1). In 21 feet acceptable corrections in clinical parameters was not observed hence they were taken as poor results and further treated by surgery.…”