Analysis of Dimeglio Score with Modified Pirani Score for Assessment of Idiopathic Clubfoot Deformity in Infants: A Comparative Study!
Volume 3 | Issue 1 | Jan-Jun 2017 | Page 2-5| Vasu sharma, Vikas Gupta, Daipayan chatterjee, Akshat Sharma
Authors : Vasu sharma [1], Vikas Gupta [2], Daipayan chatterjee [1], Akshat Sharma [1].
[1] Senior Resident, Central Institute of orthopaedics, VMMC & Safdarjung Hospital, New Delhi. India.
[2] Professor, Central Institute of orthopaedics, VMMC & Safdarjung Hospital, New Delhi. India.
Address of Correspondence
Dr. Vasu Sharma
Central Institute of orthopaedics,
VMMC & Safdarjung Hospital,
New Delhi 110029, India.
Email: dr.vasusharma@gmail.com
Abstract
Background: To evaluate Idiopathic clubfoot deformity of foot, several scoring systems have been proposed and modified Pirani score and Dimeglio score have stood the test of time. There is scarcity of literature comparing the two systems in depth. We tried to compare the scoring systems on user friendliness and predictability to find out whether any superiority exists, if any. We also tried out if Dimeglio score could be used as a guideline for performing tenotomy.
Methods: 82 feet of idiopathic clubfoot deformity were treated by Ponseti’s Plaster technique and evaluated by both modified Pirani and Dimeglio score simultaneously with each cast until full correction was achieved. The scores were compared using standard statistical techniques comparing predictability and user friendliness. Tenotomy was done as per guidelines given by Pirani and corresponding Dimeglio score was assessed and evaluated.
Results: Dimeglio score took longer time as compared to Modified Pirani score. Strong positive correlation was found between corresponding Modified Pirani and Dimeglio Score. Pirani score had statistical significant Plateauing just prior to tenotomy. Dimeglio score of 5 or 6 was found in all cases where tenotomy was done with Equinus score 3 or 2, Curvature of lateral border and Derotation of carpopedal block and Forefoot adduction score 0 or 1, with Cavus, Medial, Posterior crease, Muscle status score 0.
Conclusion: Both Dimeglio and Modified Pirani score have their advantages and shortcomings but most of the scoring correlate well. Dimeglio score can also be used to decide when to do tenotomy.
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| How to Cite this Article: Sharma V, Gupta V, Chatterjee D, Sharma A: Analysis of Dimeglio Score with Modified Pirani Score for Assessment of Idiopathic Clubfoot Deformity in Infants: A Comparative Study! International Journal of Paediatric Orthopaedics Jan-June 2017;3(1):2-5. |
