Management of Congenital Talipes Equino Varus (CTEV) by Ponseti Casting Technique in Neonates: Our Experience

Authors

  • Md. Saif Ullah Department of Pediatric Surgery Bangladesh Institute of Child Health (BICH) & Dhaka Shishu (Children) Hospital, Dhaka
  • Kazi Md. Noor-ul Ferdous Pediatric & Neonatal Surgeon; Dhaka Shishu (Children) Hospital. Dhaka, Bangladesh
  • Md. Shahjahan Department of Pediatric Surgery Bangladesh Institute of Child Health (BICH) & Dhaka Shishu (Children) Hospital, Dhaka
  • Sk. Abu Sayed Department of Pediatric - Burn & Reconstructive Surgery Dhaka Shishu (Children) Hospital. Dhaka, Bangladesh

DOI:

https://doi.org/10.47338/jns.v2.29

Keywords:

Neonate, Talipes equino-varus, Ponseti technique

Abstract

Objective: The purpose of this study is to evaluate the results of Ponseti technique in the management of congenital Talipes Equino Varus (CTEV) in neonatal age group.

Methods: It is a prospective observational study, conducted during the period of July 2010 to December 2011 at the Department of Pediatric Surgery in a tertiary hospital. All the neonates with CTEV were treated with Ponseti casting technique. Neonates with other congenital deformities, arthrogryposis and myelomeningocele were excluded.

Results: Total 58 CTEV feet of 38 neonates were treated. Twenty six were males and 12 were females. Thirty seven (63.8%) feet were of rigid variety and 21(36.2 %) feet were of non-rigid variety. Twenty patients had bilateral and 18 had unilateral involvement. Mean pre-treatment Pirani score of study group was 5.57. Mean number of plaster casts required per CTEV was 3.75 (range: 2-6). Thirty five rigid and 15 non-rigid (total 86.2%) feet required percutaneous tenotomy. Out of 58 feet 56 (96.6%) were managed successfully. Three (5.2%) patients developed complications like skin excoriation and blister formation. Mean post-treatment Pirani score of the study group was: 0.36 ± 0.43.

Conclusion: The Ponseti technique is an excellent, simple, effective, minimally invasive, and inexpensive procedure for the treatment CTEV deformity. Ideally it can be performed as a day case procedure without general anesthesia even in neonatal period.

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Author Biographies

Md. Saif Ullah, Department of Pediatric Surgery Bangladesh Institute of Child Health (BICH) & Dhaka Shishu (Children) Hospital, Dhaka

Assistant Professor,

Department of Pediatric & Pediatric Reconstractive Surgery

Bangladesh Institute of Child Health (BICH) & Dhaka Shishu (Children) Hospital, Dhaka

Kazi Md. Noor-ul Ferdous, Pediatric & Neonatal Surgeon; Dhaka Shishu (Children) Hospital. Dhaka, Bangladesh

Registrar,

Department of Pediatric & Neonatal Surgery

Bangladesh Institute of Child Health (BICH) & Dhaka Shishu (Children) Hospital, Dhaka

Md. Shahjahan, Department of Pediatric Surgery Bangladesh Institute of Child Health (BICH) & Dhaka Shishu (Children) Hospital, Dhaka

Pediatric Surgeon

Department of Pediatric & Pediatric Reconstractive Surgery

Bangladesh Institute of Child Health (BICH) & Dhaka Shishu (Children) Hospital, Dhaka

Sk. Abu Sayed, Department of Pediatric - Burn & Reconstructive Surgery Dhaka Shishu (Children) Hospital. Dhaka, Bangladesh

Devision of Pediatric Surgery

Bangladesh Institute of Child Health (BICH) &

Dhaka Shishu (Children) Hospital, Dhaka


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Published

2013-03-28

How to Cite

1.
Saif Ullah M, Ferdous KMN- ul, Shahjahan M, Abu Sayed S. Management of Congenital Talipes Equino Varus (CTEV) by Ponseti Casting Technique in Neonates: Our Experience. J Neonatal Surg [Internet]. 2013Mar.28 [cited 2021Jan.15];2(2):17. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/29