Ponseti casting for clubfoot – fiberglass or plaster casting?


Ponseti casting for clubfoot – fiberglass or plaster casting?


Mohammed Salih Albakri FICMS., Aseel Omer Alrawi D.G.O., Ammar Hamdan Alrawi M.Sc.


American Journal of Orthopedic Research and Review

Background: Various cast materials have been used to manage idiopathic club foot by Ponseti method of serial casting and bracing each material have it`s advantage and disadvantage.

Objectives: To compare between two cast materials used to treat idiopathic clubfoot in response to the number of casts required in achieving correction, the need for tenotomy, and skin problems that can result from using these materials.

Methods: Patients were randomized to fiberglass cast group and plaster cast group. The outcome measures were: the number of casts required to obtain clubfoot correction, need for Achilles tenotomy, and skin problems that are associated with the use of different cast materials

Results: We enrolled 33 children in the study with 40 clubfeet. 22 (55%) clubfeet were randomized to fiberglass and 18 (45%) to plaster casts. taking in consideration that bilateral feet have the same cast material for correction. There was a significant difference in the number of casts required for clubfoot correction between the two groups (p=0.005). Tenotomy was performed in 19 (47.5%) clubfeet with no significant association between tenotomy and cast material groups. Skin problem occurred in 8 (20%) clubfeet during the process of their correction.

Conclusion: The historical plaster of Paris remain to be the material of choice which can be used for correction of clubfeet by Ponseti method.


Keywords: clubfoot, Ponseti method, fiberglass cast, plaster of Paris cast.

Free Full-text PDF


How to cite this article:
Mohammed Salih Albakri, Aseel Omer Alrawi, Ammar Hamdan Alrawi. Ponseti casting for clubfoot – fiberglass or plaster casting?.American Journal of Orthopedic Research and Reviews, 2019, 2:7. DOI:10.28933/ajorr-2019-06-1106


References:

1. Mansoor A., Muhammed A., Rida M., Kamran A., Significance of Pirani score at bracing implication for recognizing a corrected clubfoot. The Iowa Orthopedic journal vol.37 151-155.
2. Rosalind M., Beth C., Christopher L., Clubfoot treatment in 2015: a global perspective. BMJ Glob Health 2018 Jan. ; 1-7.
3. Catherine H., Elaine J., Alberto J., Simon G., James H., Gerhard K., David P., Carmen B., Jason H., Comparison of cast materials for the treatment of congenital club foot using the Ponseti method: a prospective randomized controlled trial. Can.J.surg.Vol.57No.4 August 2014 247-253.
4. Shawn N., Mitchell M., John S., Casting: pearls and pitfalls learned while caring for children`s fracture. World Journal of orhthopedics 2016 Sep.18 ;7(9)539-545.
5. Tamara L., Haluk A., Mei W., Joseph K., Adam G., Sergey G., Peter A., Gerald F., Evaluation of cast creep occurring during simulated clubfoot correction. Proc Inst Mech Eng H. 2013 Aug. ;227(8): 919-927.
6. Caris E., Hampus H., Jane M., birhanu A., Linda H., Christopher B., Cost-effectiveness of clubfoot treatment in low income and middle income countries by the Ponseti method BMJ Global health 2016 ; May ; 43(5): 1-5.
7. Changulani M., GargeN.K., Rajagopal T.S., Bass A., Nayagam S.N., Sampath J., Bruce C.E., Treatment of idiopathic club foot using the Ponseti method the journal of bone and joint surgery vol.88-B, No. 10 Oct.2006 1385-1387
8. Maripuri.S.N., Gallacher.P.D., Bridgens.J., kuiper.J.H., kiely.N.T., Ponseti casting for clubfoot- above – or below-knee a prospective randomized trial. The bone and joint journal vol.95-B,No.11,November2013.1570-1574.