Correlation of Pirani Scoring with the Outcome of Treatment in Idiopathic Congenital Talipes Equinovarus Treated with Ponseti Method: A Prospective Cohort Study
Introduction: Congenital Talipes Equino Varus (CTEV) is the most common congenital musculoskeletal malformation and Ponseti method of correction is most commonly used technique. Pirani score is the simplest, reliable and quick to use tool designed to assess the severity of deformity. Aim: To ev...
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Autores principales: | , , , |
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Formato: | article |
Lenguaje: | EN |
Publicado: |
JCDR Research and Publications Private Limited
2021
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Acceso en línea: | https://doaj.org/article/d2eb3ee63c414e3e9c2949afffe87489 |
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Sumario: | Introduction: Congenital Talipes Equino Varus (CTEV) is the most
common congenital musculoskeletal malformation and Ponseti
method of correction is most commonly used technique. Pirani
score is the simplest, reliable and quick to use tool designed to
assess the severity of deformity.
Aim: To evaluate the results of Ponseti method in children with
idiopathic CTEV using modified Pirani score.
Materials and Methods: A prospective cohort study was conducted
over a period of 18 months from September 2015 to February
2017 in the Departments of Physical Medicine and Rehabilitation
(PMR) and Orthopaedics of Safdarjung hospital, New Delhi. Thirty
cases representing 47 feet were recruited for the study. They were
divided (15 in each) into 0-6 months (younger) and 6-12 months
(older) group and were evaluated pre and post Ponseti correction
using modified Pirani score in terms of number of casts required,
necessity of Percutaneous Tendo-Achilles Tenotomy (PTAT) and the
outcome after 12 months of follow-up. Spearman rank correlation
coefficient was used for correlation.
Results: There was preponderance of bilateral CTEV, 17 (56.6%)
and 38 severe cases (80.85%) had mean Pirani score higher
(5.52) in older group than in younger group (5.38). Number of
casts required to correct the deformity with Pirani score 0 at the
end of the treatment was related to severity (p=0.001) and not
age (p=0.591). Present study showed 43 feet (91.48%) required
PTAT to correct the equinus deformity (p=0.041). Satisfactory
outcome was noted in 41 feet (87.23%) of cases at 12 months
of follow-up out of which more were in younger age group.
Conclusion: Requirement of number of casts and tenotomy
was related with severity of CTEV. |
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