COMPARTIVE STUDY BETWEEN THE RESULTS OF ORIGINAL, ACCELERATED AND DECELERATED PONSETI TECHNIQUES IN TREATMENT OF CONGENITAL TALIPES EQUINOVARUS

Abstract

Congenital Idiopathic Talipes Equinovarus (CTEV), or clubfoot, is a complex deformity that involves pathological anatomical disorder in the foot with ankle equinus, hindfoot varus, midfoot cavus and forefoot adductus.Ponseti technique has become the gold standard of care for congenital club foot management. It is not only a thorough manipulation and casting process but also prevention and treatment of relapse. The procedure includes a series of plaster casts that have been modified weekly for a period of six weeks, accompanied by a percutaneous tenotomy of the Achilles tendon (PAT), and a further three-week healing castAIM OF THE WORKTo compare the results of original, modified accelerated and modified decelerated Ponseti techniques in treatment of congenital talipes equinovarus (club foot).Patients and MethodsPATIENTSSixty patients with congenital talipes equinovarus were recruited from the Orthopedic Department, Alexandria Main University Hospital (AMUH).The patients were divided randomly by sealed envelope method into three groups.Group I: Included 20 patients (31 feet) that were treated by traditional Ponseti technique using serial casts with one-week intervalGroup II: Included 20 patients (31 feet) that were treated by Modified decelerated Ponseti technique using serial casts with a two-week intervalGroup III: Included 20 patients (31 feet) that were treated by Modified accelerated Ponseti technique using serial casts with a three-day interval