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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 2, 2014, pp. 72-77
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Bioline Code: js14036
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 2, 2014, pp. 72-77
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Early Experience with Ponseti Club Foot Management in Lagos, Nigeria
Adewole, O.A.; Williams, O.M.; Kayode, M.O.; Shoga, M.O. & Giwa, S.O.
Abstract
Background:
The first Ponseti clubfoot management workshop in Nigeria was held in Ile-Ife
in December 2009, facilitated by a team from the University of Iowa. Prior to this, very few
Nigerian orthopaedic surgeons had been trained to use this technique. The objective of this
study was to evaluate the initial experience and outcome of treatment of idiopathic clubfoot
using the Ponseti method in our teaching hospital club foot clinic.
Methods:
A prospective study of congenital club feet managed in our clubfoot clinic from
January 2010 to December 2011 using the Ponseti method. Biographic data, severity using
Pirani score, duration of treatment and outcome were evaluated. Cases with less than one
year follow-up and syndromic clubfeet were excluded.
Results:
A total of 106 patients (158 feet, 54 unilateral and 52 bilateral) were treated. Age
ranged from 7 days to 4 years, and there were 40 females and 66 males. Pirani score at
presentation was 4 and less in fifty feet (31.6%) and above 4 in 108 (68.4%). Percutaneous
achilles tenotomy was performed on 42 feet (26.6%). Initial correction was achieved in 152
feet (96.2%). Mean number of casts to correction was 4.6. Relapse was observed in 8 feet
(5.16%) within one year. The foot abduction brace was used as prescribed in 60 patients
(56.8%)
Conclusion:
Initial observations indicate the outcome of clubfoot management using the
Ponseti method is encouraging. Few casts are required, treatment duration is short and
complications are minimal. Brace compliance was a challenge
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© Copyright 2014 - East and Central African Journal of Surgery
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