Perception of Parents Regarding Ponseti Technique for Treatment of Club Foot
Keywords:
Club foot, Ponseti, Perspective, Tenotomy, Casting.Abstract
OBJECTIVE: To analyze the impact of Ponseti technique on parents of children with club foot.
METHODOLOGY: It was a descriptive cross-sectional study, conducted at Dow University of hospital
and Civil Hospital Karachi from August-October 2017. After taking informed consent, the parents of the
children who had a club foot deformity, treated in our club foot clinic were included in the study.
Research team members, filled the questionnaires. Sampling technique was non-probability type. SPSS
version 16 was used for statistical analysis.
RESULTS: Out of 292 respondents, 152(51.2%) were only fathers working, 41(13.8%) only mother
working and 99(33.3%) are both working. 124(41.8%) had a family history of club foot. 186(62.6%)
children need tenotomy. Anxiety related to Ponseti technique prior to treatment observed in 232(78.1%)
and 60(20.2%) had no anxiety before treatment. Anxiety regarding tenotomy before the procedure was
in172(57.9%) where as 38.7% had no anxiety. Regarding problems during casting, 58(19.5%) had
irritability, 22(7.4%) had problems during nursing, 212 (1.4%) had both of these problems. Skin rashes
and blisters were observed in 122(41.1%) whereas 170(57.2%) had mild redness only.
CONCLUSION: Ponseti technique is a very effective and successful method of treatment. Parent’s
perspective regarding Ponseti technique is that they are satisfied at the completion of treatment, but
they got casting phase very difficult because of problems in maintaining hygiene. Initial period of
bracing was difficult because of child’s irritability and skin problems.
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