Ponseti and Kite’s Techique are two different types of maneuvers for manipulating the deformities in CTEV.
Ponseti Technique is a brainchild of the lifetime of work by Dr. Ignacio Ponseti. On the other hand, Kite’s technique is by Dr. JH Kite.
5 differences between Ponseti and Kite’s technique.
In a child with CTEV, this technique gives best results when initiated within 2 weeks of birth. I will enumerate other steps below
- Consists of two phases – treatment and maintenance
- The sequence is in the order of cavus — > varus –> adduction — > equinus
- Lateral Talar head is the fulcrum for manipulation.
- Long leg casting
- 6-7 times casting in total for correction
- This technique is to be started as soon as after birth
- Sequence of correction is adduction — > varus — > equinus. Pronation of first metatarsal is done which is not done in Ponseti.
- Calcaneocuboid joint is the fulcrum for manipulation.
- Below knee casting
- Requires numerous sessions and is costly and lengthy.
Table : Differences between Ponseti and Kite’s Techique
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