Value of dimeglio scoring system during ponseti correction of congenital talipes equinovarus deformity

Abstract

Background: When it comes to assessing the severity of an isolated clubfoot deformity and its response to therapy, the Dimeglio scoring system is universally accepted.
Objective: The aim of the current work was to increase the knowledge about application of dimeglio scoring system during Ponseti correction of clubfoot.
Patients and Methods: On the basis of a Randomized clinical research, at Zagazig University Hospital Orthopedic Department, and Alhawary general hospital, Benghazi, Libya, we recruited 12 patients aged lower than 1 year having idiopathic clubfoot treated using ponseti technique in duration from January 2021 to October 2021.
Results: There was a statistically significant decreases in Demiglio score among cases did not need tenotomy compared to cases needed it at all times of follow up. Also, there was a statistically significant decrease in score when comparing 1st & last read in cases needed tenotomy by 89.03% and in cases did not need by 94.26 percent. The different readings of Demiglio score had accuracy 100%, 100%. 91%, 83.3% & 100% respectively in prediction of not needing tenotomy among the studied cases.
Conclusion: It could be concluded that in terms of dependability, the Dimeglio scoring system is clinically relevant and may be simply used in clinical practice. The Dimeglio score is practical, easy to use, and applicable in children also above the age of 1.5 years old.