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.

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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


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