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Comparison of Standard and Accelerated Ponseti Technique in the Treatment of Idiopathic Clubfoot at a Regional Orthopaedic Hospital in Nigeria

Volume 7 | Issue 1 | January-April 2021 | Page: 10-15 | Anikwe I.A, Lasebikan O.A, Enweani U.N Authors: I. A. Anikwe MBBS, FMC Ortho. [1], O. A. Lasebikan MBCHB, MPH, MBA, FWACS, FMC Ortho, FICS [2], U. N. Enweani MBBS, FMCS, FMCOrtho, FWACS, FICS [3] [1] Department of Surgery, Alex Ekwueme Federal University Teaching […]

Supracondylar Humerus Fracturetreated With Closed Reduction and Percutaneous Cross Pinning Technique in Children

Volume 7 | Issue 1 | January-April 2021 | Page: 06-09 | Sanjay Kumar Meena, Ashok Tiwari, Dinesh Kumar Bairwa, Bharat Sharma Authors: Sanjay Kumar Meena MS Orth. [1], Ashok Tiwari MS Orth. [1], Dinesh Kumar Bairwa MS Orth. [1], Bharat Sharma MS Orth. [2] [1] Department of Orthopaedic, Government Medical College, Kota, Rajasthan. [2] Department of Orthopaedic, Government Medical College, Pali, […]

Comparison of Standard and Accelerated Ponseti Technique in the Treatment of Idiopathic Clubfoot at a Regional Orthopaedic Hospital in Nigeria

Supracondylar Humerus Fracturetreated With Closed Reduction and Percutaneous Cross Pinning Technique in Children

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Comparison of Standard and Accelerated Ponseti Technique in the Treatment of Idiopathic Clubfoot at a Regional Orthopaedic Hospital in Nigeria

Volume 7 | Issue 1 | January-April 2021 | Page: 10-15 | Anikwe I.A, Lasebikan O.A, Enweani U.N

Authors: I. A. Anikwe MBBS, FMC Ortho. [1], O. A. Lasebikan MBCHB, MPH, MBA, FWACS, FMC Ortho, FICS [2],
U. N. Enweani MBBS, FMCS, FMCOrtho, FWACS, FICS [3]

[1] Department of Surgery, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.
[2] Department of Orthopaedics, National Orthopedic Hospital, Enugu, Nigeria.
[3] Consultant Orthopedic Surgeon, City Hospital Enugu, Nigeria.

Address of Correspondence
Dr. Omolade. A. Lasebikan,
Department of Orthopaedics, National Orthopedic Hospital, Enugu, Nigeria.
Email: ladelash@yahoo.com

Abstract

Introduction: Congenital clubfoot is a developmental deformity of the foot. Management by the Ponseti method has been shown to be produce better results with fewer complications than traditional surgical methods. Some studies have shown that shorter intervals of serial manipulation/casting provide similar outcome to standard Ponseti technique. This study compared management outcome using an accelerated twice weekly technique, with standard weekly Ponseti casting.
Methodology: A prospective comparative study was conducted involving 62 patients with 90 clubfeet. From the study, 48 clubfeet in 34 patients were managed with standard Ponseti technique (weekly manipulation and casting), while 42 clubfeet in 28 patients were managed with accelerated Ponseti technique (twice weekly manipulation and casting). Pirani score was used for initial assessment and for follow-up.
Results: Children were 1 month to 36 months of age at the time of commencement of treatment. Majority of patients were male, (63%). The average number of casts did not differ significantly between the treatment groups (p = 0.13). The accelerated Ponseti technique patients were therefore able to complete their treatment within a significantly shorter period than those who went through the standard Ponseti protocol. The standard group had mean duration of correction of 29.65±11.69 days and 12.36±5.45 days for the accelerated group (p<0.001). The episodes of early relapses were 2.1% in the standard group and 2.4% in the accelerated group. The rates of complications were comparable between the groups.
Conclusion: Treatment of congenital clubfeet using the twice weekly casting appears to provide comparable outcomes to the weekly Ponseti casting with a significant reduction in the duration of the casting phase.
Keywords: Clubfoot; Pirani score; Ponseti technique; Accelerated.

References

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How to Cite this Article: Anikwe I.A, Lasebikan O.A, Enweani U.N | Comparison of Standard and Accelerated Ponseti Technique in the Treatment of Idiopathic Clubfoot at a Regional Orthopaedic Hospital in Nigeria | International Journal of Paediatric Orthopaedics | January-April 2021; 7(1): 10-15.

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Supracondylar Humerus Fracturetreated With Closed Reduction and Percutaneous Cross Pinning Technique in Children

Volume 7 | Issue 1 | January-April 2021 | Page: 06-09 | Sanjay Kumar Meena, Ashok Tiwari, Dinesh Kumar Bairwa, Bharat Sharma

Authors: Sanjay Kumar Meena MS Orth. [1], Ashok Tiwari MS Orth. [1],
Dinesh Kumar Bairwa MS Orth. [1], Bharat Sharma MS Orth. [2]

[1] Department of Orthopaedic, Government Medical College, Kota, Rajasthan.
[2] Department of Orthopaedic, Government Medical College, Pali, Rajasthan.

Address of Correspondence
Dr. Sanjay Kumar Meena,
Senior Resident, Department of Orthopaedic, Government Medical College, Kota, Rajasthan.
E-mail: drsanjayroop@gmail.com

Abstract

Introduction: Supracondylar fractures of the humerus are the most frequently occurring elbow fractures in children. They account for approximately 50-70% of all fractures around the elbow. The peak incidence is between 5 and 6 years of age. The incidence of supracondylar fractures amongst girls are on the rise.
Patients and Methods: 75 patients with a closed supracondylar humerus fracture were treated by closed reduction and percutaneous crossed Kirschner wire fixation (2 lateral and one medial entry) technique. All fractures were treated by general orthopaedic surgeons with no specialised training in paediatric orthopaedic surgery.
Results: Out of the 71 children available for follow-up, the outcomes were excellent in 55 patients, good in10, fair in 4, and poor in 2 patients.
Conclusions: We found closed reduction and percutaneous cross-pinning for the treatment of Type II and III supracondylar fractures of humerus in children (Modified Gartland Classification) to be an effective method of treatment. The outcomes obtained in our study suggest that childhood supracondylar humerus fractures can be managed successfully by general orthopaedic surgeons with comparable results to those achieved in tertiary centres dedicated to paediatric orthopaedic care.
Keywords: Children; Humerus; Supracondylar fracture.

References

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How to Cite this Article: Meena SK, Tiwari A, Bairwa DK, Sharma B | Supracondylar Humerus Fracturetreated With Closed Reduction and Percutaneous Cross Pinning Technique in Children | International Journal of Paediatric Orthopaedics | January-April 2021; 7(1): 06-09.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Comparison of Standard and Accelerated Ponseti Technique in the Treatment of Idiopathic Clubfoot at a Regional Orthopaedic Hospital in Nigeria

Supracondylar Humerus Fracturetreated With Closed Reduction and Percutaneous Cross Pinning Technique in Children

Comparison of Standard and Accelerated Ponseti Technique in the Treatment of Idiopathic Clubfoot at a Regional Orthopaedic Hospital in Nigeria

Supracondylar Humerus Fracturetreated With Closed Reduction and Percutaneous Cross Pinning Technique in Children

Full Sized Blog Element (Big Preview Pic)

Comparison of Standard and Accelerated Ponseti Technique in the Treatment of Idiopathic Clubfoot at a Regional Orthopaedic Hospital in Nigeria

Authors: I. A. Anikwe MBBS, FMC Ortho. [1], O. A. Lasebikan MBCHB, MPH, MBA, FWACS, FMC Ortho, FICS [2],
U. N. Enweani MBBS, FMCS, FMCOrtho, FWACS, FICS [3]

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

Supracondylar Humerus Fracturetreated With Closed Reduction and Percutaneous Cross Pinning Technique in Children

Authors: Sanjay Kumar Meena MS Orth. [1], Ashok Tiwari MS Orth. [1],
Dinesh Kumar Bairwa MS Orth. [1], Bharat Sharma MS Orth. [2]

Abstract

References

(Article text HTML) (Download PDF)

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