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Comparing two treatments for babies under six months with severe clubfoot, testing whether a faster one-week Ponseti method is as safe and effective as the standard method in correcting the foot deformity and improving outcomes.

Crash Ponseti versus the standard Ponseti method in the man-agement of infants under six months with severe idiopathic con-genital talipes equino varus: A randomised controlled trial. - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/06/088657
Enrollment
54
Registered
2025-06-11
Start date
Unknown
Completion date
Unknown
Last updated
2025-06-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: Q660- Congenital talipes equinovarus

Interventions

Intervention1: Crash Ponseti: Crash Ponseti casting starts on the day of presentation at the clinic after admission, followed by a second cast after 48 hours, and then changing the cast daily till the
if the dorsiflexion is less than 15 degrees or if its in the equinus, tendoachillies tenotomy is performed as per protocol, and a final cast is applied, which is removed after three weeks. Control In
if the dorsiflexion is less than 15 de-grees or if its in the equinus, tendoachillies tenotomy is performed as per protocol, and a final cast is applied, which is removed after three weeks.

Sponsors

Jawaharlal institute of postgraduate medical education and research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Severe Idiopathic CTEV. 2.Age less than 6 months. 3.The study will include the right side in cases of bilateral severe idiopathic clubfoot

Exclusion criteria

Exclusion criteria: 1.Moderate Idiopathic CTEV, Atypical, syn-dromic or neurogenic CTEV 2.Age more than 6 months. 3.Earlier treated with plaster cast application or any other method

Design outcomes

Primary

MeasureTime frame
1. Change in Pirani score at the end of fifth cast 2. Number of days spent in castTimepoint: There are no specific time points for this outcome

Secondary

MeasureTime frame
1. Number of cases needing tendoachilles tenotomy 2. Change in Pirani Score with each cast 3. Total number of casts needed by both techniques 4. To compare complications between both methodsTimepoint: No specific time points

Countries

India

Contacts

Public ContactDr Leo J

Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)

raghu41089@gmail.com9591824223

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026