Repeating Ponseti method for treating relapsed idiopathic congenital talipes equinovarus in children less than two years of age: a prospective study.

BACKGROUND

Various conservative and non-conservative methods have been debated for their effectiveness in treating relapsed idiopathic congenital talipes equinovarus (CTEV). The aim of this work was the assessment of repeating Ponseti method in management of relapsed idiopathic CTEV in children less than two years of age.

METHODS

This prospective study was carried out on 50 clubfeet in 33 children aged 10 months - two years, who had relapsed idiopathic CTEV after documented complete correction of the initial deformity with Ponseti method and initiation of a bracing protocol, between April 2022 and April 2024. Before, during, and after the last cast removal, as well as at the end of follow-up, the Pirani scoring system was utilized to evaluate each clubfoot.

RESULTS

The mean age was 12.5 ± 6.08 months. Sex was male in 26 (52%) patients. The side was right in 28 (56%) patients. Pirani score was significantly lower after the last cast removal and at the end of follow up than before treatment (P < 0.001).

CONCLUSION

Relapsed idiopathic CTEV in children less than two years of age were effectively managed with the repeating of Ponseti method.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

TRIAL REGISTRATION

Not applicable.

CINICAL TRIAL NUMBER

Not applicable.