Author/Authors :
cortizo Garcia, Lucas Centro Ortopédico Traumatológico (COT), Salvador, BA, Brazil , rocha de Jesus, Lucas Centro Ortopédico Traumatológico (COT), Salvador, BA, Brazil , oLiveira trindade, Mateus de Hospital Martagão Gesteira , Salvador, BA, Brazil , Garcia FiLho, Fernando caL Hospital Martagão Gesteira , Salvador, BA, Brazil , Pinheiro, MaGda Leão Medicine Scholar - Faculdade de Tecnologia e Ciência (FTC), Salvador, BA, Brazil , Jucá Píres de sá, raFaeLa Hospital Martagão Gesteira , Salvador, BA, Brazil
Abstract :
Objective: Clubfoot is one of the most common congenital defor-
mities affecting the musculoskeletal system. The main conservative
treatment for clubfoot includes the Ponseti’s and Kite’s methods.
This study aimed to perform a comparative evaluation of the effec-
tiveness of the Ponseti and Kite approaches for the conservative
treatment of clubfoot. Methods: One hundred children with clubfoot
abnormality, visiting the Martagão Gesteira Hospital, were divided
in two groups. The first group received conservative treatment
using the Kite method and the second group received conservative
treatment using the Ponseti method. At the end of the treatment,
both groups were evaluated based on the Pirani classification
to verify whether there had been an adequate correction of the
deformity. The variables studied included correction of deformity,
age, sex, and laterality. Results: The effectiveness of the Kite and
Ponseti methods of conservative treatment showed significant
statistical differences. Conclusion: The present study shows that
the efficacy of conservative treatment using the Ponseti method
was 18% higher than that of the Kite method. Level of evidence II,
randomized clinical trial
