Outcomes of the Ponseti Technique in Different Types of Clubfoot—A Single Center Retrospective Analysis

Abstract

Background: Clubfoot is a congenital deformity that can affect one or both of a newborn’s lower extremities. The main objective of the study is to evaluate and compare the outcomes of the Ponseti method for the management of different types of clubfoot. Methods: A retrospective analysis of 151 children with 253 clubfeet (idiopathic untreated, idiopathic recurrent, and syndromic) with at least one year of follow-up was conducted in four months after ethical approval. Data were collected with a structured proforma after the consent of the parents. An independent sample t-test was applied to show the comparison between the groups, and a p-value of 0.05 was considered significant. Results: Out of 151 patients, 76% were male and 24% were female. Out of a total of 235 feet, 96 (63%) were idiopathic untreated, 40 (26.5%) were idiopathic recurrent, and 15 (9.5%) were syndromic clubfoot. The average number of casts was higher in syndromic clubfoot (9 casts per foot). There was no significant difference in the baseline Pirani score of the three groups (p-value > 0.05); but after one year of follow-up, there was a significant difference in the Pirani score of idiopathic and syndromic clubfoot (p-value ≤ 0.05) and between recurrent clubfoot and syndromic clubfoot (p-value = 0.01). Conclusions: The aetiology of syndromic clubfoot affects the outcomes of the Ponseti method and leads to relapse. In idiopathic (untreated and recurrent) clubfoot, the Ponseti method does not produce a significant difference in outcome. Poor brace compliance and a lack of tenotomy lead to orthotic (ankle foot orthosis AFO and foot orthosis FO) use in the day time and the recurrence of clubfoot deformity in these three types of clubfoot.

Assessment of Mothers’ Knowledge regarding Care of their Children Undergoing Congenital Club-Foot Surgery

“…This reflects that nurse not participate in increasing the awareness of mothers about the condition, and instead of having role, the doctor became the major source of information. This finding agrees with Butt [40] who conduct study about -Outcomes of the Ponseti Technique in Different Types of Clubfoot-A Single Center Retrospective Analysis‖ and found that less than half of the studied mothers had information about clubfoot from doctor.…”

Clinical Characteristics and Whole Exome Sequencing Analysis in Serbian Cases of Clubfoot Deformity—Single Center Study

“…Finally, almost every third patient was treated by the Ponseti method only, while the rest were treated by the Ponseti method along with additional surgical procedures. That is not in accordance with other studies [3,[45][46][47], describing the Ponseti method as the gold standard, superior for the treatment of clubfoot. This discrepancy could be potentially explained by the fact that the patients who were treated at the UCH were resistant to previous treatment by the Ponseti method only.…”