Experience of accelerated ponseti method as a more convenient technique for newly diagnosed CTEV cases

Abstract

The study's primary objective is to assess the effectiveness of this accelerated approach in achieving successful early correction of clubfoot deformity and improving the overall quality of life for these patients This is a prospective based hospital study where 50 patients (70 foot) taken into consideration. 50 patients randomised in two groups .one of which treated with conventional ponseti casting and other with accelerated ponseti casting. The mean days of plaster duration in accelerated casting group was 19.25 days as compared to 45.25 days in standard casting group (statistically significant, p<0.001). Also, Pirani score at the end of last follow up was comparable in both the groups. Tenotomy rate was slightly higher in accelerated casting group (88%) as compared to standard group (80%) which may be attributed to higher initial Pirani score in former (5.5) as compared to later (5.0). Clubfoot is socially stigmatized in underdeveloped nations; the early and optimistic outcome of the accelerated Ponseti casting procedure has a profound effect on parents as well as the orthopaedic surgeon treating them. The total length of the Ponseti casting treatment has been significantly shortened by the accelerated method without any complications.