Abstract 12.1.6
 

 

 

EARLY OUTCOME OF TREATMENT OF CONGENITAL CLUBFOOT USING KITE’S METHOD – THE NEED FOR REVIEW OF TREATMENT METHOD

 

 

 

NGIM E. NGIM  1, ENEMBE OKOKON  2IKPEME A.M. IKPEME 1, ANTHONY M.D. UDOSEN,1 JOY IYA2

1 DEPARTMENT OF ORTHOPAEDICS AND TRAUMATOLOGY UNIVERSITY OF CALABAR, CALABAR

2DEPARTMENT OF COMMUNITY MEDICINE UNIVERSITY OF CALABAR TEACHING HOSPITAL, CALABAR

 

ABSTRACT:This study was aimed at describing the profile and assessing the early outcome of treatment of Congenital talipes equinovarus using the Kite’s method in our hospital. This was a retrospective descriptive study of patients who presented with congenital clubfoot in our centre over a three year period. The medical information of patients was retrieved from clinic records and case notes. Relevant data obtained was analysed using Statistical Package for Social Sciences (SPSS) version 17.0 computer software. Forty seven patients entered the study, age ranging from 3 days to 18.5 years with median of 13.9 months. There were 29 males and 18 females; male to female ratio was 1.6:1.0. The clubfoot was bilateral in 26 patients (55.32%), affected the left lower limb in 15 cases (31.91%) and the right in 6 (12.77%). Four patients had associated congenital anomalies. The mean number of plaster casts applied was five (maximum of 20) and treatment lasted for an average of 12.6 weeks (maximum 52 weeks). Of the twenty three patients who completed treatment, the outcome was adjudged good in 18 cases (78.26%), fair in 4 (17.39%) and poor in one patient (4.35%). Bilateral disease is common. Reasonable correction rate was recorded with equally high default. Use of the Ponseti method with reported higher correction rate would be more beneficial to our patients.

KEYWORDS: Clubfoot, Kite’s method, Calabar.

 

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