Perbandingan Penanganan Clubfoot Metode Kite-Lovell dengan Ponseti

oleh: Andri Primadhi, Yoyos D. Ismiarto

Format: Article
Diterbitkan: Universitas Padjajaran 2009-12-01

Deskripsi

Clubfoot is anomalies frequently seen in the newborns. This limits the child's walking ability. Without adequate treatment, it will interfere the patient's living. Treatment consists of conservative and operative. Conservative treatment is initial choice, with controversies about its methods. Conservative treatment consists of Kite-Lovell and Ponseti methods. There is difference between them in the matter of manipulation. Numbers of study said that the Ponseti methods gave better result than Kite-Lovell. This study was to compare about the two methods performed in Hasan Sadikin General Hospital in the year of 2001-2005. The design was cross sectional. Data collected from the medical records from 2001 to 2005, including characteristic, methods used, and clinical improvement that measured by Dimeglio scoring system. This research included 64 children, or 103 foot, due to not all the children had bilateral clubfoot. The results showed that male patients were dominant (56%). According to age at initial treatment, the most common was 0-3 years, i.e. 34 children. Seventy-one feet (69%) were treated with Kite-Lovell methods, and the rests by Ponseti methods. Using Dimeglio scoring, we measured the initial and final scores, and there was no significant difference between them, but the results are better if done at younger age.