Abstract

MANGEMENT OF CLUB FOOT WITH PONSETI TECHNIQUE

Dr. Ali Ahmed Hayyawi* and Dr. Qasim Hasan Haleem Al-Bosaleh

ABSTRACT

This condition is known as clubfoot, or congenital talipes equinovarus among the most prevalent congenital musculoskeletal disorders deformities. Clubfoot birth is a common occurrence across the African continent. 1.11 (95 % CI 0.96–1.26) per cent of the population 1000 new human life.[1] In the long run, untreated clubfoot causes discomfort disability is a result of physical impairments It's common practice to employ the Ponseti approach to prevention and treatment of clubfoot It's made up of two parts: a period of correction and another phase of upkeep Precision manipulation is required throughout this phase of the process.[4] foot correction around the ankle to address cavus and antero-posterior deviation and the deformity's varus. The trickery Plaster of Paris long-leg casts keep the in their A new cast member is usually added each week. a tenotomy made through the skin corrective surgery on the Achilles tendon. The equinus that remains. The maintenance phase. takes place over the course of 23 hours while wearing a foot abduction brace every day for the first three months, then every night till a few years to several years Numerous classification schemes have been presented to evaluate clubfoot malformation and to determine its severity how treatment affects the patient.[6] Smoley and Ponseti.[4] Based on a clinical examination of the ankle heel varus, forefoot supination, and the tibial tuberosity are all involved in torsion following the therapy. In general, feet were rated as nice and satisfactory. or a low income. Considered by Harrold and Walker.[7] Correctional measures taken to date in terms of severity. The Pirani.[8] and.[9] scores. The Dimeglio score.[9] is one of the most frequently employed. Clubfoot deformity classification schemes.[10] The Pirani's score ranges from 0 to 6, with zero being a perfectly normal foot. Lastly, the most severe malformation affects those in the sixth grade. It's dependable if it's used correctly. commonly used by non-specialist health care providers Assumption of Responsibility The maximum score is 20 points, and the abnormality is described as categorized as mild, moderate, severe, or extremely severe, depending on the severity of the condition. The following tools have been created to aid in the evaluation of function: pain and discomfort, as well as the patient's gait range of motion.[12,13] and heel position.[12,13] To gauge total pleasure, foot is developed as well as one's appearance, discomfort, and physical limits movement quality may be assessed in great depth using this method. mobility and muscle testing with a goniometer,[15] but excludes information provided by parents.

Keywords: Clubfoot, complete percutaneous tenotomy of tendoachillis, ponseti method.