Qualitative assessment of the challenges to the treatment of idiopathic clubfoot by the Ponseti method in urban India

Karan Gadhok; Mohan V Belthur; Alaric J Aroojis; Thomas Cook; Florin Oprescu; Ashish S Ranade; Jose A Morcuende

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Qualitative assessment of the challenges to the treatment of idiopathic clubfoot by the Ponseti method in urban India

Journal article

Open access

Peer reviewed

Qualitative assessment of the challenges to the treatment of idiopathic clubfoot by the Ponseti method in urban India

Karan Gadhok, Mohan V Belthur, Alaric J Aroojis, Thomas Cook, Florin Oprescu, Ashish S Ranade and Jose A Morcuende

The Iowa orthopaedic journal, Vol.32, pp.135-140

2012

PMCID: PMC3565394

PMID: 23576934

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3565394/View

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Abstract

The Ponseti method of clubfoot treatment has been shown to be a very safe, effective and minimally invasive technique when performed in medical centers in Europe and North America. However, only a limited number of studies have helped identify the challenges for effective treatment with the Ponseti method in India. In this study a qualitative approach was used through distribution of questionnaires, personal interviews and focus groups with orthopedic surgeons (in urban centers) and parents of patients with clubfoot. The following factors were evaluated: (i) physician education, (ii) alternative methods of treatment/modification of the Ponseti technique, (iii) compliance by parents, (iv) treatment in underserved areas, (v) culture, (vi) community knowledge of clubfoot, and (vii) the health care system in India. The results showed that all of the factors evaluated hindered outcomes for patients; however, parent's compliance with bracing, lack of proper rural clubfoot treatment clinics, poverty and physician education were the most prominent challenges. The results of this study can be used to implement specific strategies to improve the diffusion and implementation of the Ponseti method for treating clubfoot throughout India.

Culture

India

Attitude of Health Personnel

Braces

Humans

Orthopedic Procedures - education

Surveys and Questionnaires

Clubfoot - therapy

Orthopedic Procedures - statistics & numerical data

Patient Compliance

Urban Population

Casts, Surgical

Details

Title: Subtitle: Qualitative assessment of the challenges to the treatment of idiopathic clubfoot by the Ponseti method in urban India
Creators: Karan Gadhok - Department of Orthopaedic Surgery and Rehabilitation Carver College of Medicine and College of Public Health University of Iowa, USA
Mohan V Belthur
Alaric J Aroojis
Thomas Cook
Florin Oprescu
Ashish S Ranade
Jose A Morcuende
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.32, pp.135-140
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 23576934
PMCID: PMC3565394
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2012
Academic Unit: Occupational and Environmental Health; International Programs; Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984040211802771

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