Dr Angela Evans – Australian Goodwill Ambassador – Walk for Life – Glencoe Foundation
Less risk of infection, a good thing on all fronts..
Sep 22, 2015 LinkedIn Post
Last week it was reported that developing world countries are now showing an increase in antibiotic resistance: http://www.bbc.com/news/health-34276557
As with any issue affecting the developing world, such a problem will potentially affect huge numbers of people, due simply to the scale of populations. Whilst in many ways it’s good that incomes are rising in the developing world, enabling more people access to health care, this also means that the sizeable challenge of antibiotic overuse and subsequent resistance is spreading in low income / high population countries.
Relevant then, is the use of the non-surgical Ponseti method of correction of congenital clubfoot, a condition affecting an estimated 200,000 newborns globally per annum, 80% of whom arrive in a developing country.
Uncorrected clubfoot deformity is a misery for the afflicted child, a burden and a grief for the family. The disabled child who can’t walk easily, is disadvantaged physically, and a drain on the family finances as they grow up needing to eat, but without being able for work and earning.
“A crucial shift has been the management of the congenital paediatric clubfoot (talipes equino varus). Longitudinal observation and investigation has seen the non-surgical Ponseti method now adopted globally as ‘best practice’, largely relegating the surgical posterior medial release (PMR). How extraordinary that the inexpensive Ponseti method also provides the best clinical outcomes!” http://www.jfootankleres.com/series/paediatric_foot
Sure, the non-surgical Ponseti method does still carry some infection risk – involving a percutaneous tenotomy (aka ‘tiny cut’) of the the achilles tendon, and plaster casts and the brace boots can rub skin sores if not well applied/fitted. Overall though, this technique has a minimal infection risk, gives the best long-term results, and is least expensive. All of these factors matter, and with increasing antibiotic resistance in the developing world, any less infection prone intervention will be both wise and advantageous.
Please see more about ‘Walk for Life’ which provides FREE clubfoot correction, using the low infection risk Ponseti method, for babies and infants in Bangladesh – and for just A$120: http://walkforlifeclubfoot.org
Treatment funding depends on donations, so please feel free to ‘sign up’ as a donor (tax deductible, hugely appreciated!).