Pirani Score

The mean Pirani score at 1st visit was 5.21 points and became 2.1 points after the last manipulation cast (pre-tenotomy) , 1.05 points at the final follow up. There was significant improvement of Pirani score from 1st visit and through the stages of treatment up to the final follow up.There was statistically significant relation between the mean Pirani score at 1st visit and that at the final follow up( P = 0.002 ). At the end of follow up;The results of all feet were as follows: 43/45 feet were good (95 %), 2/45 feet were bad (5 %) (Table II) (Fig.3,4,), the Pirani scors of the two bad feet immediately after tenotomy were 0.5 and at the final follow up of both (20,22 months) were 2.5 and 3.These two bad results …show more content…
The number of casts had no statistically significant effect on the final results (P = 0.252). There was no significant difference of the final results between those that did and did not have a tenotomy. There were 2 feet had superficial cast ulcer during serial casting , they were treated by betadine dressing under the …show more content…
(23-25) Operative treatment should be considered only after manipulation and plaster cast have failed to obtain correction in a specified period of time, this period should not preferably be more than three months.