Study on compliance to abduction brace in treatment of clubfoot using ponseti method

Introduction Management of idiopathic clubfoot since the last decade have been through Ponseti method. It has been proven worldwide to be an effective treatment in correcting the deformity approaching 98%. This study was conducted to find the success rate for Ponseti method of treatment in HUSM...

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Main Author:	Mohd Fakhri, Mohd Zaini
Format:	Thesis
Language:	English
Published:	2014
Subjects:	RD701-811 Orthopedic surgery
Online Access:	http://eprints.usm.my/40535/1/Dr._Mohd_Zaini_Mohd_Fakhri_%28Orthopedic%29-24_pages.pdf
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spelling	my-usm-ep.405352019-04-12T05:26:05Z Study on compliance to abduction brace in treatment of clubfoot using ponseti method 2014 Mohd Fakhri, Mohd Zaini RD701-811 Orthopedic surgery Introduction Management of idiopathic clubfoot since the last decade have been through Ponseti method. It has been proven worldwide to be an effective treatment in correcting the deformity approaching 98%. This study was conducted to find the success rate for Ponseti method of treatment in HUSM and the compliance rate of abduction bracing. This study was also design to find any association between success rate of Ponseti treatment and compliance to abduction bracing. It also look into whether number of cast required and age of presentation influence the compliance. Methods This retrospective study was conducted on 32 CTEV patients with 40 feet treated at HUSM from January 2008 to June 2012. All of these patients were treated using Ponseti method comprising of corrective serial casting, tenotomy and abduction bracing. The patients feet were reassessed using 2 scoring systems (Pirani and MHJDF) to asses success rate. Parents were given questionnaire to asses compliance to abduction bracing. Result The mean age of presentation was at 28.5 days (12-120) where the mean cast applied for correction was 6 casts (45%). Thirty one feet (77.5%) were compliant to the bracing protocol and 9 feet (22.5%) did not. Success rate was measured in feet with good outcome in patients who followed the Ponseti method and compliance to abduction brace. Success rate in the compliant group for this study was 100%. However, good outcome for the non-compliant group was 55.6%. The chi-square test had proven statistically that there is a significant association between the outcome and compliance to the abduction brace protocol. Conclusion The success rate for treatment of idiopathic CTEV with Ponseti method in HUSM is 100%. The compliance rate to abduction bracing was 77.5%. This study had proven statistically that there was an association between outcome and compliance with abduction bracing. 2014 Thesis http://eprints.usm.my/40535/ http://eprints.usm.my/40535/1/Dr._Mohd_Zaini_Mohd_Fakhri_%28Orthopedic%29-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RD701-811 Orthopedic surgery
spellingShingle	RD701-811 Orthopedic surgery Mohd Fakhri, Mohd Zaini Study on compliance to abduction brace in treatment of clubfoot using ponseti method
description	Introduction Management of idiopathic clubfoot since the last decade have been through Ponseti method. It has been proven worldwide to be an effective treatment in correcting the deformity approaching 98%. This study was conducted to find the success rate for Ponseti method of treatment in HUSM and the compliance rate of abduction bracing. This study was also design to find any association between success rate of Ponseti treatment and compliance to abduction bracing. It also look into whether number of cast required and age of presentation influence the compliance. Methods This retrospective study was conducted on 32 CTEV patients with 40 feet treated at HUSM from January 2008 to June 2012. All of these patients were treated using Ponseti method comprising of corrective serial casting, tenotomy and abduction bracing. The patients feet were reassessed using 2 scoring systems (Pirani and MHJDF) to asses success rate. Parents were given questionnaire to asses compliance to abduction bracing. Result The mean age of presentation was at 28.5 days (12-120) where the mean cast applied for correction was 6 casts (45%). Thirty one feet (77.5%) were compliant to the bracing protocol and 9 feet (22.5%) did not. Success rate was measured in feet with good outcome in patients who followed the Ponseti method and compliance to abduction brace. Success rate in the compliant group for this study was 100%. However, good outcome for the non-compliant group was 55.6%. The chi-square test had proven statistically that there is a significant association between the outcome and compliance to the abduction brace protocol. Conclusion The success rate for treatment of idiopathic CTEV with Ponseti method in HUSM is 100%. The compliance rate to abduction bracing was 77.5%. This study had proven statistically that there was an association between outcome and compliance with abduction bracing.
format	Thesis
qualification_level	Master's degree
author	Mohd Fakhri, Mohd Zaini
author_facet	Mohd Fakhri, Mohd Zaini
author_sort	Mohd Fakhri, Mohd Zaini
title	Study on compliance to abduction brace in treatment of clubfoot using ponseti method
title_short	Study on compliance to abduction brace in treatment of clubfoot using ponseti method
title_full	Study on compliance to abduction brace in treatment of clubfoot using ponseti method
title_fullStr	Study on compliance to abduction brace in treatment of clubfoot using ponseti method
title_full_unstemmed	Study on compliance to abduction brace in treatment of clubfoot using ponseti method
title_sort	study on compliance to abduction brace in treatment of clubfoot using ponseti method
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2014
url	http://eprints.usm.my/40535/1/Dr._Mohd_Zaini_Mohd_Fakhri_%28Orthopedic%29-24_pages.pdf
_version_	1747820794922139648

Study on compliance to abduction brace in treatment of clubfoot using ponseti method

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