EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY

Objective: To assess the effectiveness of Pirani scoring system in predicting the need of percutaneous Achilles tenotomy in cases of idiopathic club foot. Study Design: Case control study. Place and Duration of Study: Orthopaedic department of CMH Kohat, from Mar 2017 to Aug 2018. Methodolo...

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Autores principales:	Ahmed Mushtaq Khan, Syed Faraz Anwar, Anas Bin Saif, Saeed Akhtar Awan
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	idiopathic club foot pirani scoring system ponseti method tenotomy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c29a6de7927148179891bcf5dedb1dfd
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spelling	oai:doaj.org-article:c29a6de7927148179891bcf5dedb1dfd2021-12-02T14:58:39ZEFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY0030-96482411-8842https://doaj.org/article/c29a6de7927148179891bcf5dedb1dfd2020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5567https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess the effectiveness of Pirani scoring system in predicting the need of percutaneous Achilles tenotomy in cases of idiopathic club foot. Study Design: Case control study. Place and Duration of Study: Orthopaedic department of CMH Kohat, from Mar 2017 to Aug 2018. Methodology: This study included newborn babies to the age of 3 months with idiopathic club foot. The patients were treated by Ponseti method. The Pirani Score was calculated at initial presentation before starting treatment with casting according to Ponseti method. After three months percutaneous tenotomy was performed based on progression. The data was analyzed by applying unpaired t-test to determine the statistical significance keeping p-value <0.05. Binary regression was evaluated to determine the odds ratio. Results: A total of 39 patients were included in study with 67 club feet. There were 26 (66.6%) males and 13 (33.3%) females. The mean Pirani score of patients who had tenotomy was 4.45 ± 0.74, whereas, it was 3.476 ± 0.48 in patients who did not underwent tenotomy (p-value ≤0.001). There were higher odds of tenotomy in patients who have high Pirani score at initial presentation (OR=19.61, p-value ≤0.001). The cut off limit of pirani score beyond which tenotomy was essential was 3.95. Conclusion: Higher Pirani score was associated with higher chances of percutaneous Achilles Tenotomy in cases of Idiopathic Club foot.Ahmed Mushtaq KhanSyed Faraz AnwarAnas Bin SaifSaeed Akhtar AwanArmy Medical College Rawalpindiarticleidiopathic club footpirani scoring systemponseti methodtenotomyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1376-1380 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	idiopathic club foot pirani scoring system ponseti method tenotomy Medicine R Medicine (General) R5-920
spellingShingle	idiopathic club foot pirani scoring system ponseti method tenotomy Medicine R Medicine (General) R5-920 Ahmed Mushtaq Khan Syed Faraz Anwar Anas Bin Saif Saeed Akhtar Awan EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY
description	Objective: To assess the effectiveness of Pirani scoring system in predicting the need of percutaneous Achilles tenotomy in cases of idiopathic club foot. Study Design: Case control study. Place and Duration of Study: Orthopaedic department of CMH Kohat, from Mar 2017 to Aug 2018. Methodology: This study included newborn babies to the age of 3 months with idiopathic club foot. The patients were treated by Ponseti method. The Pirani Score was calculated at initial presentation before starting treatment with casting according to Ponseti method. After three months percutaneous tenotomy was performed based on progression. The data was analyzed by applying unpaired t-test to determine the statistical significance keeping p-value <0.05. Binary regression was evaluated to determine the odds ratio. Results: A total of 39 patients were included in study with 67 club feet. There were 26 (66.6%) males and 13 (33.3%) females. The mean Pirani score of patients who had tenotomy was 4.45 ± 0.74, whereas, it was 3.476 ± 0.48 in patients who did not underwent tenotomy (p-value ≤0.001). There were higher odds of tenotomy in patients who have high Pirani score at initial presentation (OR=19.61, p-value ≤0.001). The cut off limit of pirani score beyond which tenotomy was essential was 3.95. Conclusion: Higher Pirani score was associated with higher chances of percutaneous Achilles Tenotomy in cases of Idiopathic Club foot.
format	article
author	Ahmed Mushtaq Khan Syed Faraz Anwar Anas Bin Saif Saeed Akhtar Awan
author_facet	Ahmed Mushtaq Khan Syed Faraz Anwar Anas Bin Saif Saeed Akhtar Awan
author_sort	Ahmed Mushtaq Khan
title	EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY
title_short	EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY
title_full	EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY
title_fullStr	EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY
title_full_unstemmed	EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY
title_sort	effectiveness of pirani score in predicting selection of achilles tenotomy in idiopathic clubfoot: a case control study
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/c29a6de7927148179891bcf5dedb1dfd
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_version_	1718389287917977600

EFFECTIVENESS OF PIRANI SCORE IN PREDICTING SELECTION OF ACHILLES TENOTOMY IN IDIOPATHIC CLUBFOOT: A CASE CONTROL STUDY

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