A Comparative Study Between Ponseti and Accelerated Ponseti Technique in Treating Patient Visiting a Tertiary Care Centre in Belagavi

Abstract

Background: Aims: The aim of this study was to compare the results of weekly once Ponseti casting technique to an accelerated twice weekly regimen in the CTEV patient.

Methods: A prospective randomised controlled study which was conducted in 50 consecutive CTEV patients. 25 were randomised to each group and were treated with ponseti and accelerated ponseti methods respectively and followed up for 6 months.

Results: Initial mean Pirani score was 4.44±0.78 in the standard group and 4.36±0.71 in the accelerated group, and the score decreased to 0.38±0.37 and 0.31±0.32, respectively. The average number of casts required to correct all deformities was 6.15±1.4 in standard group and 6.08±1.9 in accelerated group(p=0.43). Average time spent in cast was 68.2±8.3 days in standard and 44.5±5.2 days in accelerated group(p<0.001). Percutaneous Achilles tendon tenotomy was done in 88% and 84% in standard and accelerated group respectively(p=0.66).

Conclusions: These results suggest that even though the final results of both methods are similar accelerated Ponseti technique has shown to significantly reduces the correction time and that it is equally safe and slightly more effective as the traditional Ponseti technique.