Walking Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot
Volume 7 | Issue 3 | September-December 2021 | Page: 08-12 | Devashis Barick, Nilesh Joshi, Nikhil Tiwari, Amit Nemade, Ameya Sawarkar
DOI-10.13107/ijpo.2021.v07i03.115
Authors: Devashis Barick MS Ortho. [1], Nilesh Joshi MS Ortho. [1], Nikhil Tiwari MS Ortho. [1], Amit Nemade MS Ortho. [1], Ameya Sawarkar MS Ortho. [1]
[1] Department of Orthopaedics, NKP SIMS & RC, Nagpur, Maharashtra, India.
Address of Correspondence
Dr Amit Nemade
Assistant Professor, Department of Orthopaedics, NKP SIMS & RC, Nagpur, Maharashtra, India.
E-mail: kidsorth@gmail.com
Abstract
Aim- Parents of children affected with idiopathic clubfoot are anxious that motor development should progress normally. Treatment using Ponseti Method involves cast immobilization, bracing and tenotomy which inhibit the normal movement thereby increasing parental concern. The purpose of this study was to evaluate age at which independent walking was established in infants with idiopathic clubfoot treated using Ponseti method.
Materials & Methods- There were 70 patients in this prospective longitudinal study. All subjects were full term at birth, less than 12 weeks of age at the initiation of treatment for clubfoot and no prior outside treatment had been provided. Patients were treated using the Ponseti method. The children were evaluated prospectively for the commencement of independent walking.
Results- The mean age at which independent walking started was 13.64 + 2.74 months (9 months-22 months). Fifty percent of the affected children were walking by the age of 14 months. Children with relapse walked later by 2.8 months (p=0.017). Children with a family history walked at 11.7 months (p=0.049) which was significantly earlier than the patients without a family history. Other variables had no significant influence on walking age.
Conclusion- A delay of 1.5 months in independent walking age is expected in children with idiopathic clubfoot, which is helpful while counselling the parents at the start of treatment. Relapse during treatment delays walking age further.
Keywords: CTEV, Motor milestone, Independent walking.
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| How to Cite this Article: Barick D, Joshi N, Tiwari N, Nemade A, Sawarkar A Walking | Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot | International Journal of Paediatric Orthopaedics | September-December 2021; 7(3): 08-12. |
