A survey on idiopathic congenital talipes equinovarus (ICTEV) managed by the Ponseti technique at Mulago Hospital - Uganda

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dc.contributor.authorMalinga, Raymond Joseph
dc.contributor.authorMadewo, Geoffrey
dc.contributor.authorOrwotho, Nobert
dc.contributor.authorPyrali Pirani, Shafique
dc.contributor.authorMoyosore Afodun, Adam
dc.contributor.authorAkajewole Masud, Mustapha
dc.date.accessioned2022-12-11T16:44:44Z
dc.date.available2022-12-11T16:44:44Z
dc.date.issued2021
dc.description.abstractPonseti technique is the treatment of choice for idiopathic congential talipes equino varus (ICTEV) since 1950s with excellent treatment outcomes reported worldwide. However, despite the popularity of this technique, Uganda adapted it as a treatment modality for ICTEV in May 2005. Since then, the effectiveness of delivered Ponseti care to children with this very common orthopaedic deformity under the supervision of an orthopaedic surgeon was unknown. The implication of this undertaking was that, satisfactory outcomes would then support the Ministry of Health (MOH)-Uganda´s decision to embrace this mode of treatment and if the outcomes were unsatisfactory, MOH would then consider a policy revision in this regard. To assess the midterm treatment outcomes of children with ICTEV who had been enrolled for treatment at Mulago National Referral Hospital in the period of 2006-2009. Methods: in November/December 2013, a cross-sectional study was conducted to assess the treatment outcomes of 68 feet of 45 children using the designed questionnaire and the PBS score; a pilot study of 10 neonates was performed prior to research. A good treatment outcome meant having a foot or feet that did not require any major or minor surgery. Results: forty-five (45) children with 68 ICTEV feet were evaluated; males 29 (64.4%) and 16 (35.6%) females with a mean age of 73.22 months (SD 11.364, range 48-96 months). Among the feet assessed, 46 (68%) had good to excellent outcomes while 22 (32%) had a relapse of moderate and severe deformity. Good functionality was seen in 61.8% out of which, 69% and 55.9% had no limitation in walking or running respectively. Conclusion: Ponseti treatment technique in children with ICTEV under the care of predominantly orthopaedic officers with some supervision from orthopaedic surgeons had fair to good midterm outcomes even in low resource settings like Uganda. Public health approach should be embraced in the management of clubfoot in Uganda by enhancing adequate comprehensive support supervision and establishment of reliable institutionalized systems for patient follow up which will lead to early detection and treatment of relapsed ICTEV cases or neglected clubfeet in the communities.en_US
dc.identifier.citationRaymond Joseph Malinga et al. A survey on idiopathic congenital talipes equinovarus (ICTEV) managed by the Ponseti technique at Mulago Hospital - Uganda. Pan African Medical Journal. 2021;38(397). 10.11604/pamj.2021.38.397.26560en_US
dc.identifier.other10.11604/pamj.2021.38.397.26560
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6166
dc.language.isoenen_US
dc.publisherPan African Medical Journalen_US
dc.subjectPonseti methoden_US
dc.subjectMidterm evaluationen_US
dc.subjectClinical outcomeen_US
dc.titleA survey on idiopathic congenital talipes equinovarus (ICTEV) managed by the Ponseti technique at Mulago Hospital - Ugandaen_US
dc.typeArticleen_US
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