TO EVALUATE THE OUTCOME OF PONSTEI TECHNIQUE AS MANAGEMENT OF CONGENITAL TELEPIS EQUINO VARUS (CTEV).

Abstract

ABSTRACT
INTRODUCTION: Congenital Talipes Equinovarus (CTEV) or clubfoot is the common
congenital pathology being faced by Orthopedic Surgeons during their Practice. It is the deformity
of lower limb. Syndrome type occurs in many neurological and neuromuscular disorders like spina
bifida or spinal muscular atrophy. Idiopathic type is common and there is no upper limb
abnormality in this type. It is estimated to be found among 1 to 2 per 1000 live births.
OBJECTIVE: To detect the outcome of Ponseti Technique in patients suffering from CTEV.
STUDY DESIGN: Cross sectional study. PLACE AND DURATION OF STUDY: Sakrand
Hospital Nawabshah and PMCH Nawabshah. 1st January 2019 to 31st December 2019.
PATIENTS AND METHODS: This study was conducted at Sakrand Hospital Nawabshah
related to PMC Hospital Nawabshah. All the patients were taken from Out Patient Department
(OPD) and emergency center. History was taken from the patient’s parents or other attendants.
Thorough clinical examination was done. X ray of the affected parts were taken in order to find
out the severity of the disease. RESULTS: Total 40 patients were selected for the study. Of them,
30 (75 %) were baby boys and 10 (25%) were baby girls. Complications of Ponstei technique are
varied. 7 (17.5%) patients developed neurovascular compromise. Casting ulcer was seen 2 (5%)
patients had casting ulcer. 1(2.5%) had complete foot gangrene and 1(2.5%) had partial foot
gangrene. Only 2 (5%) patients developed compartment syndrome. The overall complication rate
was 32.5%. CONCLUSION: - In short, it was concluded that Ponseti Technique in CTEV
produces excellent results with least complication rate that was only 32.5%.