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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Prospective Study on Functional Outcomes of Serial Cast Correction in Congenital Talipes Equinovarus (CTEV) by Ponseti Method

Rajkumar Indrasen Suryawanshi, Sanjay Gavit, Abhijit Chintamani Mahajan and S. Aravind
Page: 109-114 | Received 05 Dec 2023, Published online: 09 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.5.109.114

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Abstract

Congenital Talipes Equinovarus (CTEV), commonly known as clubfoot, presents significant treatment challenges in pediatric orthopedics. The Ponseti method, characterized by serial casting and minimal surgery, has emerged as a predominant treatment. However, the long‐term functional outcomes of this method require further exploration. This study aims to evaluate the effectiveness of the Ponseti method in improving functional outcomes in CTEV patients. This prospective study involved 200 patients diagnosed with CTEV. Patients aged 0‐2 years were selected, with varying degrees of CTEV severity. The treatment protocol included serial casting, Achilles tenotomy in indicated cases and brace compliance monitoring. Functional outcomes were assessed using standardized foot function indices and radiographic analysis at regular intervals during a 2‐year follow‐up period. Of the 200 patients treated, 180 (90%) showed significant improvement in foot alignment and function within the first year. The average number of casts used was 5 per patient. Achilles tenotomy was performed in 65% of cases, with no significant complications. Compliance with bracing was 85%. Functional scores and radiographic angles showed substantial improvement post‐treatment. The recurrence rate was observed to be 10%. The Ponseti method proved highly effective in correcting foot deformities in CTEV patients, with significant functional improvements and a low recurrence rate. The study highlights the importance of strict adherence to the casting and bracing protocol. These findings support the continued use of the Ponseti method as a first‐line treatment for CTEV and underscore the need for patient education on brace compliance to minimize recurrence. Future research should focus on long‐term functional outcomes and the optimization of treatment protocols for varied severities of CTEV.

How to cite this article:

Rajkumar Indrasen Suryawanshi, Sanjay Gavit, Abhijit Chintamani Mahajan and S. Aravind. A Prospective Study on Functional Outcomes of Serial Cast Correction in Congenital Talipes Equinovarus (CTEV) by Ponseti Method.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.109.114
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.109.114