Case Report
Year: 2021 | Month: May | Volume: 11 | Issue: 5 | Pages: 159-162
DOI: https://doi.org/10.52403/ijhsr.20210525
Effectiveness of an Indigenous Orthosis for the Management of Congenital Talipes Equino Varus - A Case Study
Minakshi Behera1, A. Subha2, Surajit Kumar Sahu3
1Assistant Professor (P&O), National Institute for Empowerment of Persons with Multiple Disabilities (Divyangjan), ECR, Muttukadu, Kovalam Post, Chennai-603112, Tamil Nadu
2Ex-student, ISHWAR Institute of Prosthetics & Orthotics, AA-23, 3RD Street, 3RD Main Road, Anna Nagar, Chennai-600040, Tamil Nadu
3Ex-Assistant Professor (P&O), ISHWAR Institute of Prosthetics & Orthotics, AA-23, 3RD Street, 3RD Main Road, Anna Nagar, Chennai-600040, Tamil Nadu
Corresponding Author: Minakshi Behera
ABSTRACT
Background: Although the orthotic treatment of CTEV has mixed evidence, still it remains the mainstay of conservative management (Ponseti Casting Technique) in economically developing countries, where bracing is a critical component of the current standard of treatment for CTEV or clubfoot.
Objective: Thus this study aimed to design a cost-effective Indigenous Orthosis for the Management of Congenital Talipes Equino Varus with Ankle foot orthosis. So that it can avoid unnecessary wearing of CTEV shoes.
Study design: A case report
Methods: The subject reported was a 2-year-old male child with a Pirani score of 5 congenital bilateral CTEV deformity. An Indigenous CTEV Orthosis with the combination of AFO and Denis Browne Splint was designed by the clinical team and the subject was followed prospectively for the next 1 year using the orthosis.
Results: The Pirani score of 2 was achieved after the use of this Indigenous CTEV Orthosis which was 5 before using the orthosis.
Conclusion: Indigenous Orthosis can be considered as a very excellent orthosis for the orthotic management of CTEV. As this orthosis fulfills all the desired function with some
additions like lightweight, inexpensive, better correction of the angulations and the most important thing are that there is no need to wear any kind of shoes.
Key words: CTEV, Pirani Score, AFO, Denis Browne Splint, Indigenous CTEV Orthosis.