patterns were analyzed, Dimeglio-bensahel scoring .... Clubfoot severity was graded using the Dimeglio-. Bensahel classification.13 This incorporated eight.
Ponseti Clubfoot Management: Changing Surgical Trends in Nigeria Adegbehingbe, OO, FWACS, FICS, Oginni, LM, FWACS, Ogundele, OJ, FWACS, Ariyibi, AL, FMCS, Abiola, PO, FWACS, Ojo, OD, FWACS
Abstract Background: Congenital clubfoot treatment continues to be controversial particularly in a resource-constrained country. Comparative evaluation of clubfoot surger y with Ponseti methods has not been reported in West Africa. Objectives: To determine the effects of Ponseti techniques on clubfoot surger y frequency and patterns in Nigeria. Methods: This was a prospective hospital-based intention-to-treat comparative study of clubfoot managed with Ponseti methods (PCG) and extensive soft tissue surger y (NPCG). The first step was a nonselective double-blind randomization of clubfoot patients into two groups using Excel software in a university teaching hospital setting. The control group was the NPCG patients. The patients’ parents gave informed consent, and the medical research and ethics board approved the study protocol. Biodata was gathered, clubfoot patterns were analyzed, Dimeglio-Bensahel scoring was done, the number of casts applied was tallied, and patterns of surgeries were documented. The cost of care, recurrence and outcomes were evaluated. Kruskal-Wallis analysis and Mann-Whitney U technique were used, and an alpha error of < 0.05 at a CI of 95% were taken to be significant. Results: We randomized 153 clubfeet (in 105 clubfoot patients) into two treatment groups. Fifty NPCG patients (36.2%) underwent manipulation and extensive soft tissue surger y and 55 PCG patients (39.9%) were treated with Ponseti methods. Fifty-two patients of the Ponseti group had no form of surger y (94.5% vs. 32%, p
