Ponseti casting for severe XXXX : are clinical outcomes promising?

@entity1 @entity5149 @entity3762
Between 2007 and 2010, a prospective study was done on 85 @entity1 with severe @entity3762 , in our center. Demographic features, severity of the deformity before and after serial casting according to Dim  glio classification, and complications were assessed. The mean age of the @entity1 was 8 days and 69% were male. The mean follow-up period was 26 months. The average number of castings used to correct the deformity was 5.7 times (range: 4 to 8). Tenotomy was performed in 76 (89.4%) of the feet. In all @entity1 , plantigrade foot was achieved. Tenotomy occurred more in @entity1 with higher Dim  glio scores. Although @entity1 who underwent Achilles tenotomy began to walk later than those who did not (13    7.2 versus 9.2    18), it was not significant (P = 0.06). Relapse rate, at the end of follow-up, was 27.1%. Dim  glio score before casting was 16    3.4 and at the end of follow-up it was 1.6    6.2. The @entity1 with bilateral clubfeet had inferior final outcome compared to those with unilateral clubfoot. Eighty percent of parents' were completely satisfied with their @entity1 's gait and foot appearance (94.1%). Ponseti method of manipulation and casting is a valuable technique in severe @entity5149 as well as in common types.
