RESULTS OF JESS DISTRACTOR IN THE MANAGEMENT OF CONGENITAL TALIPES EQUINO VARUS DEFORMITY IN 3 YEARS TO 15 YEARS OF AGE GROUP PATIENTS: A PROSPECTIVE STUDY AT A TERTIARY CARE CENTER.

Background: The principle and the methods of treatment of CTEV deformity are still debatable and the new management methods are still emerging. Intervention by different treatment modalities, has different impact on the prognosis of disease. Corrective serial casting by Ponseti method or Soft tissue release procedures alone are not sufcient to correct the late presenting neglected or relapse cases of clubfeet. This study was conducted to evaluate the results of JESS distractor in the correction of the club foot deformity and to assess the complications associated with the procedure. After obtaining institutional ethics committee approval, total 52 club feet (35 patients Methods: ) of 3-15 years age group included in this prospective study considering inclusion and exclusion criteria. JESS distractor was applied and distraction done as per distraction schedule, followed by removal and corrective cast application. Assessment of the result was based on the Pirani score with 6 months follow-ups. Results: There was statistical signicant (p-value <0.05) improvement in all clinical and radiological parameters after the procedure in all the post-operative patients. Pirani score improved to good score (0-2) in comparison to it's pre-operative poor score (5-6). Conclusion: Considering the parents compliance, JESS distractor is a good minimally invasive treatment modality for CTEV deformity in 3-15 years of age group patients, as it avoids soft tissue and bony procedures to correct the deformity, maintains the normal foot anatomy as well.