TO STUDY THE CORRELATION BETWEEN CLINICAL AND RADIOLOGICAL (USG) ASSESSMENT IN MANAGEMENT OF TYPICAL CTEV USING PONSETI TECHNIQUE

Abstract

Congenital talipes equinovarus (clubfoot) is a joint deformity of the foot in children, which affects one in every 1000 live births. Our study aims to correlate Pirani score and ultrasound in assessing the correction of clubfoot in neonates treated by the Ponseti method. A total of 44 infants with idiopathic congenital talipes equinovarus deformity were prospectively treated by the Ponseti method. Pirani score and ultrasound parameters were measured during every visit, i.e., every week till the completion of treatment. The sonographic evaluation was done in the affected foot's posterior, medial and lateral aspects. Following sonographic parameters were calculated: Tibio-calcaneal distance (TC), Medial Malleolar Navicular distance (MMN) & Calcaneo-cuboid angle (CC angle). The correlation between ultrasound parameters and Pirani score was evaluated using paired t-test. Ultrasound effectively depicts the pathoanatomy in clubfoot. Ultrasound being non-invasive, easily available, and radiation-free, can be safely used for infants to assess the effectiveness of clubfoot treatment. Pirani score and ultrasound correlation were done, and p values for respective parameters were calculated during the treatment.