The Success of the Ponseti Method in the Treatment of Congenital Varus Bot Foot (Cvbp) in a Low-Income Country: Preliminary Results of a 125pbve Series in 82 Patients

Abstract

Summary Varus equines club foot (VEBF) is a complex, three-dimensional deformity characterized by equines and Varus of the hind foot, adduction of the forefoot and supination of the foot. The purpose of this work was to evaluate the preliminary results of the treatment of equines varus clubfoot by the Ponseti method. Methods: This was a prospective descriptive study over a 3-year period (January 2015 to December 31, 2017) including 125 EVBP in 82 patients aged 0 to 6 years. Syndromic and neurogenic club foot were not included. Results: PBVE represented O, 69% of consultations, the average age of patients was 3.8 months; there were 46 boys and 36 girls. The damage was bilateral in 43 patients, tenotomy of the Achilles tendon was performed in 91.46% of the cases; the average number of casting sessions was 6.5 ± 1.54. The results were very good in 89.02% of the cases, good in 7.32% and bad in 3.36% of the cases. Conclusion: The Ponseti method (PM) is an effective and inexpensive treatment adapted to low-income countries like ours. It allows the correction of PBVE from birth to late child hood for non-stiff feet. PD has allowed a correct functional future for potentially disabled children.