[HTML][HTML] Ponseti Treatment of Bilateral Idiopathic Clubfoot: Does the Hand Dominance of the Provider Make a Difference?
CO Udemezue, PI Amaraegbulam, KA Madu… - Journal of Biosciences …, 2023 - scirp.org
CO Udemezue, PI Amaraegbulam, KA Madu, E Isikaku
Journal of Biosciences and Medicines, 2023•scirp.orgIntroduction: Congenital talipes equinovarus (CTEV) is the commonest musculoskeletal
deformity worldwide. The Ponseti technique is the goal standard for clubfoot treatment.
During the correction phase, the provider's right hand manipulates the right foot and the left
hand, left foot. Often, one foot is ready for Achilles tenotomy before the other in bilateral
clubfoot. Objective: To determine the effect of the provider's hand dominance would have on
bilateral clubfoot treated with the Ponseti technique. Method: This was a prospective cross …
deformity worldwide. The Ponseti technique is the goal standard for clubfoot treatment.
During the correction phase, the provider's right hand manipulates the right foot and the left
hand, left foot. Often, one foot is ready for Achilles tenotomy before the other in bilateral
clubfoot. Objective: To determine the effect of the provider's hand dominance would have on
bilateral clubfoot treated with the Ponseti technique. Method: This was a prospective cross …
Introduction
Congenital talipes equinovarus (CTEV) is the commonest musculoskeletal deformity worldwide. The Ponseti technique is the goal standard for clubfoot treatment. During the correction phase, the provider’s right hand manipulates the right foot and the left hand, left foot. Often, one foot is ready for Achilles tenotomy before the other in bilateral clubfoot.
Objective
To determine the effect of the provider’s hand dominance would have on bilateral clubfoot treated with the Ponseti technique.
Method
This was a prospective cross-sectional study that analyzed idiopathic bilateral clubfoot patients aged 0 - 5 years and treated using the Ponseti technique at FMC Umuahia from October 2019 to September 2020. Informed consent and ethical clearance were obtained. The Pirani scores were obtained and compared at presentation and at each clinic visit. All trained manipulators were right-handed. Two-tailed t-test was used and a p-value less than 0.05 was deemed significant.
Results
Forty-seven patients participated in the study with an M:F of 2.6:1 and mean age of 13.79 ± 13.39 months. Thirty-six patients (76.6%) had the same Pirani score on both feet at presentation, while the right and left feet were more severely affected in 8 and 3 cases respectively. The mean number of casts before readiness for tenotomy was 4.95 on the right and 5.28 on the left with p-value of 0.042.
Conclusion
Though the right foot had a worse mean Pirani score on presentation, however, it required fewer casts before readiness for tenotomy than the left.
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