Downloads: 118
Research Paper | Medicine Science | India | Volume 5 Issue 6, June 2016
The Role of Pirani Scoring System in the Management and Outcome of Idiopathic Club Foot by Ponseti Method
Dr. Alok Aggarwal | Dr. Neha Gupta [4]
Abstract: Background Clubfoot is not an embryonic malformation. A normally developing foot turns into a clubfoot during the second trimester of pregnancy. Therefore, like developmental hip dysplasia and idiopathic scoliosis, clubfoot is a developmental deformation. Understanding the pathomechanics and treating successfully clubfoot has always been unsolved mystery for modern medicine. Clubfoot is usually diagnosed immediately after birth simply by looking at the foot. Most Orthopaedic surgeons have agreed that the initial treatment of a clubfoot should be nonsurgical and start as soon as possible after birth. Pirani et al has developed a reliable and valid method of clinically assessing the amount of deformity present in an unoperated congenital clubfoot less than 2 years of age. It allows the treating practitioner to know how patient is responding to treatment, to know when tenotomy is indicated, and to reassure parents regarding progress. Material and method The subjects included in the study were consecutive patients presenting with Idiopathic CTEV attending Orthopaedic OPD from December 2014 to December 2015. Results In total there were 25 children (38 feet) presented with idiopathic clubfoot deformity, treated by Ponseti technique. Most of the children were below 6 week of age. When mobility of feet was analysed with respect to different Pirani Score groups, It was also found that mean Pirani Score of supple and rigid feet were 4.76 and 5.5 respectively. The more severe the initial deformity higher Pirani Score, the more casts were required to obtain correction. Conclusion The study clearly showed that age at initial presentation, quality (mobility) of foot and Pirani Score at presentation, has a direct bearing on final results.
Keywords: Congenital Talipes Equinovarus CTEV, Pirani Score, Ponseti Method
Edition: Volume 5 Issue 6, June 2016,
Pages: 1284 - 1287
Similar Articles with Keyword 'Congenital'
Downloads: 101
Research Paper, Medicine Science, India, Volume 4 Issue 6, June 2015
Pages: 3007 - 3010A Study on the Pattern of Blindness in Children of A Blind School in Manipur
Nameirakpam Mamota [2] | Ahanthem Suchitra | Ningombam Reagan | Archana Anand Pawar [2] | Vipin Kumar Singh [2] | Andrea Tongbram
Downloads: 103
Case Studies, Medicine Science, India, Volume 3 Issue 8, August 2014
Pages: 1728 - 1730A Case Report of Failure of Ascent of Left Kidney with Non-Rotation
Dr. Suchitra Somkuwar | Dr. Abhilasha Wahane [6] | Dr. Charulata Satpute [6]