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Original Article
Risk factors in the relapse of club foot treated by Ponseti method
1 Lecturer MSc in Rehabilitation Science Bangladesh Health Professions Institute, CRP Bangladesh
2 Former Associate Professor IHT
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S.J.M. Ummul Ambia
Lecturer MSc in Rehabilitation Science Bangladesh Health Professions Institute,
CRP Bangladesh
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Article ID: 100005P05SA2019
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Ambia SJMU, Ahmed K. Risk factors in the relapse of club foot treated by Ponseti method. Edorium J Pediatr 2019;3:100005P05SA2019.ABSTRACT
Aims: To examine the association between different factors and relapse club foot.
Methods: Case control observational study whereas the total participants was fifty those who complete clubfoot management with Ponseti method , from that twenty five was with case that means those who had relapse and another twenty five selected as control group those who had no history of relapsing.
Results: The result showed that mother or caregiver of the child did not comply with the use of Foot Abduction Brace (FAB). Noncompliance was the factor most related to the risk of relapse, with and odds ratio= 0.038 (P<0.01). Mother or care givers low educational level (less than secondary school certificate) also was a significant risk factor for relapse (odds ratio=0.022, p<0.01). In addition, the severity of the deformity, the age of the patient at the initiation of treatment, and previous treatment were not found to have a significant effect on the risk of relapse.
Conclusion: The study showed the most prominent risk factor of relapse clubfoot is noncompliance of foot abduction brace. The study also focused the issues behind the noncompliance of FAB. This identification might improve the compliance of the care giver with regard to the use of FAB and as a result improve outcome.
Keywords: Clubfoot, Ponseti method, Relapse
SUPPORTING INFORMATION
Author Contributions
S.J.M. Ummul Ambia - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kamal Ahmed - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this study.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 S.J.M. Ummul Ambia et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
