Ankle joint mobility after treatment using the PONSETI method in children with clubfoot equinovarus at the Bafoussam regional hospital
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Abstract
Clubfoot (Talipes Equinovarus) is a congenital deformity of the foot and ankle. It is characterized by a combination of deformities in the three planes of space: varus, equinus, and adduction. The objective of this study was to demonstrate the effectiveness of the Ponseti method on ankle joint mobility in children treated at the Bafoussam Regional Hospital. This is a retrospective cross-sectional study that took place between May and August 2023. The study focused on children with clubfoot (talipes equinovarus) treated at the Bafoussam Regional Hospital between January 2020 and July 2023. In total, 85 patients, including 43 boys and 42 girls, were recruited. The average age of the patients was 4 months, with extremes ranging from 1 to 10 months. In 67.05% of cases, the deformity was bilateral, while 8.23% were unilateral right, and 24.70% were unilateral left. In our sample, we recorded an average of 7 visits per patient, out of the 16 visits initially planned per patient. A total of 157 casts, 25 tenotomies, and 85 brace applications were also recorded. The casts accounted for 40% of the initial treatment. The initial average Pirani score was 2, and the final average Pirani score was 0.84. Within the scope of this study, the Ponseti method proved effective in the management of clubfoot (talipes equinovarus) in children. However, it is important that the method be applied in accordance with current recommendations.
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