Outcome of clubfoot patients after manipulation and casting using ponseti method attended at CRP.

Abstract

Purpose: Idiopathic clubfoot or congenital talipes equinovarus is the commonest congenital foot deformities having 1 in every 1000 children born worldwide. Around 80% of the cases occur in developing nations. It remains the most difficult to treat. The most widely used treatment is the Ponseti method of manipulation and serial plaster. This method is effective in 90% of all cases The purpose of this study is to evaluate the outcome of clubfoot patients after manipulation and casting using Ponseti Method. Objective: To explore the outcome of Ponseti management among the clubfoot patients, to find out the current clinical practice in Ponseti method for clubfoot patients, to identify the Sociodemographic information of the clubfoot patients. Methodology: It was quazi experimental study. Total 20 samples were selected through hospital based randomization assigned to single group for pretest and posttest. The study was conducted at CRP outpatient department, Savar, the data were collected by questionnaires, Pirani severity Scoring was used to assess patients. Pre-test was performed before beginning the treatment. The same procedure was performed to take post-test at the end of 4 weeks of treatment. Confidentiality of information and voluntarily participation were ensured by the researcher. Data were numerically coded and captured in Microsoft Excel 16, using an SPSS 20.0 version program. Result: The finding of the study was carried out by using parametric related „t‟ test to compare the pretest and posttest single Group intervention and analyzed by interpreting the probability level of significance of „t’ value. The results were found to be significant for „t’ value at probability level 0.05. Conclusion: The study concluded as after the manipulation and casting, patient got significant improvement in reduction of Clubfoot deformity. Keywords: Clubfoot, Congenital Talipes EquinoVarus, Ponseti