title: Application of the Ponseti principle for deformity correction in neglected and relapsed clubfoot using the Ilizarov fixator.
abstract: 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.
authors.affiliation: Department of Orthopaedics, PGIMER, Chandigarh, India. sujitortho@yahoo.co.in
authors.forename: Sujit Kumar
authors.initials: SK
authors.lastname: Tripathy
authors.forename: Raghav
authors.initials: R
authors.lastname: Saini
authors.forename: Pebam
authors.initials: P
authors.lastname: Sudes
authors.forename: Mandeep Singh
authors.initials: MS
authors.lastname: Dhillon
authors.forename: Shivinder Singh
authors.initials: SS
authors.lastname: Gill
authors.forename: Ramesh Kumar
authors.initials: RK
authors.lastname: Sen
authors.forename: Amit
authors.initials: A
authors.lastname: Agarwal
authors.forename: Sarvdeep
authors.initials: S
authors.lastname: Dhatt
authors.forename: Aditya Krishna
authors.initials: AK
authors.lastname: Mootha
mesh_terms: 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