Comparative Analysis between Podography and Radiography in the Management of Idiopathic Clubfeet by Ponseti Technique
Introduction: Idiopathic clubfoot is one of the most common and oldest congenital foot anomalies. There are controversies regarding its optimum management protocol and methodologies to be employed for its functional outcome evaluation. This paper attempts to propose a simple, reasonable and easi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/9414/22358_CE[Ra1]_F(RK)_PF1(PI_RK)_PFA(AK)_PF2(PMS)_PF3(AG_OM).pdf |
| Summary: | Introduction: Idiopathic clubfoot is one of the most common
and oldest congenital foot anomalies. There are controversies
regarding its optimum management protocol and methodologies
to be employed for its functional outcome evaluation. This paper
attempts to propose a simple, reasonable and easily reproducible
technique of podography for clinical and functional evaluation of
clubfoot treated by the popular Ponseti technique.
Aim: To compare the Foot Bimalleolar (FBM) angle method
(podography) and radiography with respect to management
of idiopathic clubfoot by Ponseti’s Technique and its functional
evaluation.
Materials and Methods: Sixty feet of 48 patients with idiopathic
clubfoot deformity were assessed in terms of FBM by podography
(foot print on paper and FBM angle drawing) and radiologically;
before starting treatment, after 6 weeks and at 6 monthly intervals
with a maximum follow up period of 4.8 years (Range 1.2 to 4.8
years). Mean age at start of treatment was 1.5 years (2 months to
2.5 years). Functional evaluation was done by Magone’s scoring
system.
Results: After treatment, 92 percent patients had good correction
(FBM greater than 70 degrees) which correlated well with post
treatment Magone’s score of greater than 80 (good to excellent) in
nearly 85 percent of cases. Radiologically, talocalcaneal angles in
both the views improved in only 60 percent of cases.
Conclusion: Radiological criteria show inconsistent correlation
with functional outcome for feet treated by Ponseti’s Technique.
Podography (FBM angle analysis) is a very simple, objective, cost
effective, radiation free, easily reproducible and highly reliable
clinical criterion for the assessment of deformity correction in
club foot by Ponseti’s Technique with an excellent correlation with
functional outcome. |
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| ISSN: | 2249-782X 0973-709X |