Treatment of Clubfoot With Ponseti Method Using Semirigid Synthetic Softcast

Area of Science:

• Orthopedics
• Pediatric Orthopedics
• Biomaterials in Medicine

Background:

• Clubfoot deformity requires effective and safe treatment methods.
• Traditional plaster of Paris (POP) casts are commonly used but can have drawbacks.
• Evaluating alternative casting materials is crucial for improving patient outcomes.

Purpose of the Study:

• To compare the effectiveness, advantages, and complications of semirigid synthetic softcast versus plaster of Paris (POP) in clubfoot treatment.
• To assess clinical outcomes including Pirani scores and the need for Achilles tenotomy.
• To evaluate parent satisfaction and cast-related complications.

Main Methods:

• Randomized controlled trial involving 196 babies (249 feet).
• Group A: 133 feet treated with semirigid synthetic softcast.
• Group B: 116 feet treated with plaster of Paris (POP) cast.
• Data collected: Pirani scores, cast applications, time to tenotomy, skin issues, parent satisfaction.

Main Results:

• Both casting methods significantly improved Pirani scores.
• No significant difference in the number of casts required before tenotomy.
• Semirigid softcast group showed significantly fewer cast slippages and skin lesions.
• Higher parent satisfaction reported in the semirigid softcast group.

Conclusions:

• Semirigid synthetic softcast is superior to POP casts for clubfoot treatment.
• Softcast demonstrates better parent satisfaction and lower rates of cast-related complications.
• This suggests softcast as a favorable alternative for clubfoot management.