Thesis
Ponseti Method in Delayed-Presentation Clubfoot: A Thesis
Correction and relapse outcomes when the Ponseti method is applied to children presenting after walking age, with brace adherence tracked objectively.
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Specialty
Pediatric Orthopedics
Location
Bhopal, Madhya Pradesh
Published
14 Oct 2024
Research type
Prospective Study
Abstract
Demo abstract. Children presenting beyond eighteen months underwent standard Ponseti casting with modified brace protocols; correction and relapse were followed for two years.
Description
The thesis specifically examined whether the method retains value outside its classic age window in a resource-constrained setting.
Brace adherence was recorded through parent diaries cross-checked at each visit.
Innovation / discovery
A simple pictorial brace diary improved reporting quality among caregivers with limited literacy.
Surgical / procedural method
Serial casting, percutaneous tenotomy where indicated, foot abduction bracing, Pirani scoring at each visit.
Research findings
- Initial correction was achievable in most demo cases, with more casts required than in infants.
- Relapse tracked closely with recorded brace hours.
- Distance to the clinic was the strongest predictor of missed follow-up.
Attached documents
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Thesis document
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Brace diary template
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