A Comparative Correlation between Photographic Assessment of Clubfoot And Delmingo Scoring

ABSTRACT

Background: The aim of the study is to find correlationbetween photography and Delmingo scoring in the clubfeetmanaged by Ponseti technique.Methods & Materials Total 30 subjects (42 club feet) werestudied, which were corrected by Ponseti technique. Thesubjects are evaluated photographically and clinically(Delmingo Scoring) both before and after the correction.Results: Severity of the deformities and clinical correction wasassessed by Delmingo Scoring and simultaneously byphotographs. All patients achieved good clinical results. Thepre and post correction difference in photographically wasstatistically significant.Conclusion: 4 photographic views proved as cost effectiveanalysis of its result. Various reported scores for congenitalTalipes Equinovarus are presented with observer variationsand lack in objective evidence of severity of deformity andcorrection was correlated and compared with Pirani scores 0.5-2, 2.5-4, 4.5-6 as grouped I to III for mean and StandardDeviation in 42 club feet in 30 children. Photography gives anobjective assessment of the severity of deformity and can beused as objective evidence of improvement/deterioration ofdeformity.