Application of the Ponseti principle for deformity correction in neglected and relapsed clubfoot using the Ilizarov fixator.
We treated 15 cases of neglected and relapsed clubfeet by the Ilizarov distraction method using the Ponseti principle in 12 children (mean age 7.3 years). The deformities were corrected around the talar head in the sequence of the cavus, adduction, varus and finally equinus (as per the Ponseti principle). Clinical and functional outcome after 2.5 years was significant (P<0.05) with a mean reduction of 11.7 in Dimeglio's score and an average Laaveg and Ponseti functional score of 75.47. The average time taken for correction was 4.2 weeks. Differential distraction according to the Ponseti principle leads to early correction with minimal number of residual deformities and complications.
Tripathy
Sujit Kumar
SK
Department of Orthopaedics, PGIMER, Chandigarh, India. sujitortho@yahoo.co.in
Saini
Raghav
R
Sudes
Pebam
P
Dhillon
Mandeep Singh
MS
Gill
Shivinder Singh
SS
Sen
Ramesh Kumar
RK
Agarwal
Amit
A
Dhatt
Sarvdeep
S
Mootha
Aditya Krishna
AK
D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016267:External Fixators; D005260:Female; D006801:Humans; D018889:Ilizarov Technique / Q000295:instrumentation*; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D017060:Patient Satisfaction; D011446:Prospective Studies; D011859:Radiography; D020127:Recovery of Function; D012008:Recurrence; D016896:Treatment Outcome