E-ISSN 1658-7820
 

Original Article

Online Publishing Date:
26 / 10 / 2019

 


Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting

Alfa Januar Krista, Henry Yurianto, Muhammad Ruksal Saleh.


Abstract
Background: Neglected cases of clubfoot reported from Indonesia still remain high. In Wahidin Sudirohusodo Teaching hospital, conservative treatment for neglected clubfoot has been performed since the late 1990s. Although the Ponseti method has been the most widely used correction procedure for clubfoot, it remains uncomfortable for patients who had already walked to use full-length Ponseti cast. Therefore, the authors performed below knee serial casting for the treatment in such patients and they were also allowed to perform full weight bearing walk, for the correction of deformity involving both casting and pressure from the body weight.
Methodology: This is an analytic retrospective study presenting thirteen clubfoot cases in nine ambulating patients diagnosed at Orthopaedic Policlinic Wahidin Sudirohusodo Hospital during the period between October 2017 and March 2018. Lehman’s Criteria was used to summarize and classify the results as poor (<60), fair (60–69), good (70–84), and excellent (85–100). Patients were ambulated with weekly maintained below knee serial casting. After plantigrade foot was achieved, the patient will use Ankle Foot Orthosis. On 3-month follow-up, the author measured the functional outcome using Lehman’s Criteria compared to pre-treatment findings. Data were analyzed using the Wilcoxon test.
Results: Eight patients (61.5%) improved their treatment status from poor to the good functional outcome, and five patients (38.5%) improved from poor to excellent. No patient stayed in poor nor improved only to fair. Comparison of mean between pre- and post treatment using Wilcoxon test showed a p-value of 0.001.
Conclusion: There was a significant improvement in functional outcome before and after the treatment using below knee serial casting among the Congenital Talipes Equinovarus patients in walking age.

Key words: Congenital talipes equinovarus, walking age, below knee serial casting.


 
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How to Cite this Article
Pubmed Style

Krista AJ, Yurianto H, Saleh MR. Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting. IJMDC. 2019; 3(12): 971-974. doi:10.24911/IJMDC.51-1534818742


Web Style

Krista AJ, Yurianto H, Saleh MR. Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting. https://www.ijmdc.com/?mno=5079 [Access: March 26, 2024]. doi:10.24911/IJMDC.51-1534818742


AMA (American Medical Association) Style

Krista AJ, Yurianto H, Saleh MR. Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting. IJMDC. 2019; 3(12): 971-974. doi:10.24911/IJMDC.51-1534818742



Vancouver/ICMJE Style

Krista AJ, Yurianto H, Saleh MR. Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting. IJMDC. (2019), [cited March 26, 2024]; 3(12): 971-974. doi:10.24911/IJMDC.51-1534818742



Harvard Style

Krista, A. J., Yurianto, . H. & Saleh, . M. R. (2019) Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting. IJMDC, 3 (12), 971-974. doi:10.24911/IJMDC.51-1534818742



Turabian Style

Krista, Alfa Januar, Henry Yurianto, and Muhammad Ruksal Saleh. 2019. Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting. International Journal of Medicine in Developing Countries, 3 (12), 971-974. doi:10.24911/IJMDC.51-1534818742



Chicago Style

Krista, Alfa Januar, Henry Yurianto, and Muhammad Ruksal Saleh. "Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting." International Journal of Medicine in Developing Countries 3 (2019), 971-974. doi:10.24911/IJMDC.51-1534818742



MLA (The Modern Language Association) Style

Krista, Alfa Januar, Henry Yurianto, and Muhammad Ruksal Saleh. "Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting." International Journal of Medicine in Developing Countries 3.12 (2019), 971-974. Print. doi:10.24911/IJMDC.51-1534818742



APA (American Psychological Association) Style

Krista, A. J., Yurianto, . H. & Saleh, . M. R. (2019) Functional outcome congenital talipes equinovarus in walking age treated using below knee serial casting. International Journal of Medicine in Developing Countries, 3 (12), 971-974. doi:10.24911/IJMDC.51-1534818742





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