CLUB FOOT (CTEV): TREATMENT WITH PONSETI METHOD

Abstract

Background: World Health Organization (WHO) in 2011 estimated about 15% from the world population (7 billion people) living with disabilities. All over the world, there are 150000-200000 babies were born every year with CTEV, and about 80% are from the low and middle income countries. The research from each country indicate that the ratio of CTEV is 1: 1000. An early treatment for the baby with CTEV showing a good result, especially in reducing the number of surgical procedures. The Ponseti method is one of the methods showing a good approach and treatment for baby under 9 months of ages and 2 weeks after delivery.
Objective: The main purpose of this research is to observe the result from the Ponseti method and measure with the Pirani score on the clinical laboratory of Orthotics Prosthetics Department Polytechnic of Health Science Ministry of Health Jakarta I.
Study design: Case study
Results: Out of five CTEV cases of babies with average age of 13 months and were treated with Ponseti method (serial casting), two cases (40%) have a good result without tenotomy needed. The other two cases (40%) can not be corrected and need tenotomy as follow up. One case (20%) dropped out due to move to another hospital. This variation of successful results may be due to difference of parents’ commitment and compliance to the treatment plan.
Conclusion: Early treatment of Ponseti method could be effective to correct foot deformities in CTEV patients. Serial casting could be performed in preparation before wearing Dennis Brown Brace. This method could also avoiding CTEV patients from surgical procedure (tenotomy) to prevent further deformities of the foot.