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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 22, No. 1, 2017, pp. 28-38
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Bioline Code: js17004
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 22, No. 1, 2017, pp. 28-38
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Evaluation of an accelerated Ponseti protocol for the treatment of talipesequinovarus in Nigeria
Ibraheem, G H.; Adegbehingbe, O O.; Babalola, O M.; Agaja, S B.; Ahmed, B A.; Olawepo, A & Medubi, M
Abstract
Background: The commonest congenital musculoskeletal deformity worldwide is talipes
equino varus (CTEV). Of the various treatment methods available, the most acceptable
treatment currently for CTEV worldwide is serial manipulation and casting using the
Ponseti technique. The Ponseti technique consists of weekly manipulation and casting for
an average of six to eight weeks followed by bracing of the feet till school age. Some
studies have shown evidence that more frequent casts may have similar outcomes with
weekly casts using the Ponseti method. This study compared the efficacy of management
of idiopathic CTEV using an accelerated protocol of twice weekly casts, with the standard
weekly Ponseti protocol.
Methods: The study was a randomized case control study with a group of patients
undergoing an accelerated casting protocol involving twice weekly casts compared with
another group who went through the normal weekly Ponseti protocol.
Results: A total of 45 feet in 28 patients were studied. The study showed a significantly
shorter treatment period in the accelerated protocol (39 days) compared with the
standard protocol (52 days); with no significant increase in the number of casts needed for
treatment.
Conclusions: A twice weekly Ponseti casting protocol enables completion of the casting
period earlier than the standard Ponseti method.
Keywords
Talipes equinovarus; Ponseti treatment; Accelerated Ponseti Protocol; Serial Casting
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© Copyright 2017 - East and Central African Journal of Surgery
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