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https://www.readbyqxmd.com/read/29780890/evaluation-of-an-e-learning-course-for-clubfoot-treatment-in-tanzania-a-multicenter-study
#1
Silvia D Vaca, Nicholus M Warstadt, Isidor H Ngayomela, Rachel Nungu, Emmanuel S Kowero, Sakti Srivastava
In total, 80% of clubfoot cases occur in low- and middle-income countries, where lack of clinical knowledge of the Ponseti method of treatment presents as a major barrier to treatment. This study aims to determine the effectiveness of an electronic learning course to teach clinicians in Tanzania Ponseti method theory. A total of 30 clinicians were recruited from clinics with high referral rates for clubfoot patients and invited to 1 of 3 training sites: Mbeya (n = 15), Zanzibar (n = 10), and Mwanza (n = 5)...
January 2018: Journal of Medical Education and Curricular Development
https://www.readbyqxmd.com/read/29771901/achilles-tenotomy-as-an-office-procedure-and-current-practising-trends-among-new-zealand-orthopaedic-surgeons
#2
Lewis Agius, Angus Wickham, Cameron Walker, Joshua Knudsen
BACKGROUND: Percutaneous Achilles tenotomy (PAT) is performed during the final phase of casting with Ponseti method. Several settings have been proposed as venues for this procedure, however it is increasingly being performed in theatre under a general anaesthetic (GA). General anaesthesia, however, is expensive and not without risks. The purpose of the present study was to compare results of outpatient releases to theatre releases, and assess current practising trends among orthopaedic surgeons...
May 18, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29747548/are-bilateral-idiopathic-clubfeet-more-severe-than-unilateral-feet-a-severity-and-treatment-analysis
#3
Anil Agarwal, Nargesh Agrawal, Sitanshu Barik, Neeraj Gupta
INTRODUCTION: Evidences suggest that different subgroups of idiopathic clubfoot exist with differences in severity and treatment outcomes. This study compares the severity and treatment outcomes of unilateral and bilateral clubfoot. MATERIAL AND METHODS: We retrospectively studied 161 patients (bilateral 66, unilateral 95) with primary idiopathic clubfeet to evaluate the differences in severity and treatment. The parameters analyzed were precasting Pirani score, number of casts required, pretenotomy Pirani score, pretenotomy dorsiflexion, rate of tenotomy, and post-tenotomy dorsiflexion achieved...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29732492/joint-hyperlaxity-prevents-relapses-in-clubfeet-treated-by-ponseti-method-preliminary-results
#4
Dan Ionuţ Cosma, Andrei Corbu, Dan Viorel Nistor, Adrian Todor, Madalina Valeanu, Jose Morcuende, Sorin Man
PURPOSE: The aim of the study was to evaluate the role of joint hyperlaxity (by Beighton score) as a protective factor for clubfoot relapse. METHODS: Patients with idiopathic clubfoot treated with the Ponseti method between January 2004 and December 2012, without other congenital foot deformity, and not previously treated by open surgery were included in either the Relapse group (n = 23) if it was a clubfoot relapse or the Control group (n = 19) if no relapse was noted...
May 7, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29725509/can-the-pirani-score-predict-the-number-of-casts-and-the-need-for-tenotomy-in-the-management-of-clubfoot-by-the-ponseti-method
#5
A Sharma, S Shukla, B Kiran, S Michail, M Agashe
Introduction: We assessed the role of the Pirani score in determining the number of casts and its ability to suggest requirement for tenotomy in the management of clubfoot by the Ponseti method. Materials and Methods: Prospective analysis of 66 (110 feet) cases of idiopathic clubfoot up to one year of age was done. Exclusion criteria included children more than one year of age at the start of treatment, non-idiopathic cases and previously treated or operated cases. Results: The initial Pirani score was (5.5±0...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29715234/does-the-ponseti-method-for-clubfoot-treatment-stand-up-to-the-march-of-time-commentary-on-an-article-by-lewis-e-zionts-md-et-al-sixty-years-on-ponseti-method-for-clubfoot-treatment-produces-high-satisfaction-despite-inherent-tendency-to-relapse
#6
https://www.readbyqxmd.com/read/29715219/sixty-years-on-ponseti-method-for-clubfoot-treatment-produces-high-satisfaction-despite-inherent-tendency-to-relapse
#7
Lewis E Zionts, Edward Ebramzadeh, Rebecca D Morgan, Sophia N Sangiorgio
BACKGROUND: Developed at the University of Iowa in 1950, the Ponseti method to manage idiopathic clubfoot deformity was slow to gain wide acceptance until the mid-1990s. There is a paucity of intermediate and long-term outcome studies involving this technique, with nearly all such studies coming from a single institution. The purpose of this study is to report the contemporary outcome of patients with clubfoot deformity whose feet were managed with the Ponseti method and who were followed to ≥5 years old, to provide outcome expectations for parents and for clinicians managing patients with idiopathic clubfoot...
May 2, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29704686/a-novel-nkx3-2-mutation-associated-with-perinatal-lethal-phenotype-of-spondylo-megaepiphyseal-metaphyseal-dysplasia-in-a-neonate
#8
Pelin Ozlem Simsek-Kiper, Can Kosukcu, Ozlem Akgun-Dogan, Rahsan Gocmen, Gulen Eda Utine, Tutku Soyer, Ayse Korkmaz-Toygar, Gen Nishimura, Mehmet Alikasifoglu, Koray Boduroglu
Spondylo-megaepiphyseal-metaphyseal dysplasia (SMMD) is an autosomal recessive skeletal dysplasia, characterized by disproportionate short stature with a short and stiff neck and trunk. SMMD is caused by inactivating mutations in NKX3-2, which encodes a homeobox-containing protein. Because of the rarity of the disorder, the diagnostic feature has not been fully established yet. We describe an affected newborn with dysmorphic facial features and severe short trunk. The patient required immediate intubation at the delivery room and duodenal atresia was detected during his course in neonatal intensive care unit...
April 25, 2018: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/29674653/pedobarographic-analysis-following-ponseti-treatment-for-unilateral-neglected-congenital-clubfoot
#9
Chao Xu, Jie Wei, Ya-Bo Yan, Lei Shang, Xiao-Jiang Yang, Lu-Yu Huang, Wei Lei
Recent trends have led to an interest in Ponseti treatment for correcting neglected congenital clubfoot. Although good clinical and functional outcomes have been reported, the plantar pressure distribution after the treatment of neglected clubfoot has not been explored yet. The present study aimed to investigate whether plantar pressures normalized following Ponseti treatment in patients with neglected congenital clubfoot. Pedobarographic, clinical, and functional examinations were performed in 22 children (aged, 91...
April 19, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29668833/commentary-on-aesthetic-improvement-of-undeveloped-calves-after-treatment-of-congenital-clubfoot-deformity
#10
James E Vogel
No abstract text is available yet for this article.
April 14, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29642612/ponseti-technique-for-the-management-of-congenital-talipes-equinovarus-in-a-rural-set-up-in-india-experience-of-356-patients
#11
Rohit Malhotra, Ashutosh Mohapatra, Geetika Arora, Priyam Choudhury, Hitesh Joshi, Pranav Patel
Congenital talipes equinovarus (CTEV), also known as clubfoot, is a complex congenital deformity of the foot that, left untreated, can limit a person's mobility by making it difficult and painful to walk. Worldwide, 80% of children born with clubfoot are in low- and middle-income countries. The management of clubfoot has a long history. Non-operative management did not become popular, as an increasing number of orthopaedists started leaning towards surgical treatment. The late Dr. Ignacio Ponseti developed a method of clubfoot correction that successfully realigns clubfoot in infants without extensive and major surgery...
April 10, 2018: Children
https://www.readbyqxmd.com/read/29610937/paediatric-musculoskeletal-disease-in-kumi-district-uganda-a-cross-sectional-survey
#12
Kristin Alves, Norgrove Penny, Olive Kobusingye, Robert Olupot, Jeffrey N Katz, Coleen S Sabatini
PURPOSE: The purpose of this study is to estimate the burden of musculoskeletal disease among children treated in Kumi District, Uganda, to inform training, capacity-building efforts, and resource allocation. METHODS: We conducted a retrospective cohort study by reviewing the musculoskeletal (MSK) clinic and community outreach logs for children (age < 18 years) seen at Kumi Hospital in Kumi, Uganda, between January 2013 and December 2015. For each patient, we recorded the age, sex, diagnosis, and treatment recommendation...
April 2, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29601388/art-in-science-jusepe-de-ribera-s-puzzle-in-the-clubfoot
#13
Kadir Abul, Abdulhamit Misir, Abdul Fettah Buyuk
No abstract text is available yet for this article.
May 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29594373/comparison-of-dimeglio-and-pirani-score-in-predicting-number-of-casts-and-need-for-tenotomy-in-clubfoot-correction-using-the-ponseti-method
#14
Manuele Lampasi, Caterina Novella Abati, Camilla Bettuzzi, Stefano Stilli, Giovanni Trisolino
PURPOSE: The Dimeglio and the Pirani scores are largely used to rate clubfoot at presentation and monitor correction. To date, the accuracy of these scores in predicting appropriate treatment is controversial. The aim of this study was to investigate the accuracy of Dimeglio and Pirani scores in predicting the number of casts and the need for tenotomy in clubfoot correction using the Ponseti method. METHODS: Ninety-one consecutive feet (54 patients; mean age at presentation: 28 ± 15 days) undergoing clubfoot correction using the Ponseti method were prospectively followed from first casting to correction...
March 29, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29578995/commentary-on-clubfoot-does-not-impair-gross-motor-development-in-5-year-olds
#15
Nancy L Garcia, Shelley Mader
No abstract text is available yet for this article.
April 2018: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/29578994/clubfoot-does-not-impair-gross-motor-development-in-5-year-olds
#16
Karina A Zapata, Lori A Karol, Kelly A Jeans, Chan-Hee Jo
PURPOSE: To evaluate the gross motor development of 5-year-olds using the Peabody Developmental Motor Scales, 2nd Edition (PDMS-2), test after initial nonoperative management of clubfoot as infants. METHODS: The PDMS-2 Stationary, Locomotion, and Object Manipulation subtests were assessed on 128 children with idiopathic clubfeet at the age of 5 years. Children were categorized by their initial clubfoot severity as greater than 13, unilateral or bilateral involvement, and required surgery...
April 2018: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/29578933/complex-iatrogenic-clubfoot-is-it-a-real-entity
#17
Massimiliano Dragoni, Armando Gabrielli, Pasquale Farsetti, Diego Bellini, Pierluigi Maglione, Ernesto Ippolito
In our study, we aimed to demonstrate whether a complex iatrogenic clubfoot really exists; identify the causative mechanisms; and determine the outcome if properly treated. We observed 54 clubfeet previously treated unsuccessfully by manipulation and casting elsewhere. All the feet had been classified at diagnosis as typical clubfeet. In 26 cases, the cast had slipped down, entrapping the foot in a plantar-flexed position. Nine clubfeet out of those 26 cases presented the clinical features of a complex iatrogenic deformity...
March 23, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29511012/systematic-review-and-meta-analysis-of-global-birth-prevalence-of-clubfoot-a-study-protocol
#18
Adnan Ansar, Ahmed Ehsanur Rahman, Lorena Romero, Mohammad Rifat Haider, Mohammad Masudur Rahman, Md Moinuddin, Md Abu Bakkar Siddique, Md Al Mamun, Tapas Mazumder, Shafique Pyarali Pirani, Richard Gordon Mathias, Shams Ei Arifeen, Dewan Md Emdadul Hoque
INTRODUCTION: Clubfoot is a common congenital birth defect, with an average prevalence of approximately 1 per 1000 live births, although this rate is reported to vary among different countries around the world. If it remains untreated, clubfoot causes permanent disability, limits educational and employment opportunities, and personal growth. The aim of this systematic review and meta-analysis is to estimate the global birth prevalence of congenital clubfoot. METHODS AND ANALYSIS: Electronic databases including MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Global Health, Latin American & Caribben Health Science Literature (LILACS), Maternity and Infant Care, Web of Science, Scopus and Google Scholar will be searched for observational studies based on predefined criteria and only in English language from inception of database in 1946 to 10 November 2017...
March 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29499667/what-factors-impact-on-the-implementation-of-clubfoot-treatment-services-in-low-and-middle-income-countries-a-narrative-synthesis-of-existing-qualitative-studies
#19
Sarah Drew, Rachael Gooberman-Hill, Christopher Lavy
BACKGROUND: Around 100,000 children are born annually with clubfoot worldwide and 80% live in low and middle-income counties (LMICs). Clubfoot is a condition in which children are born with one or both feet twisted inwards and if untreated it can limit participation in everyday life. Clubfoot can be corrected through staged manipulation of the limbs using the Ponseti method. Despite its efficacy and apparent availability, previous research has identified a number of challenges to service implementation...
March 2, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29474527/aesthetic-improvement-of-undeveloped-calves-after-treatment-of-congenital-clubfoot-deformity
#20
Katarina Andjelkov, Ramon Llull, Milan Colic, Tatjana C Atanasijevic, Vesna M Popovic, Miodrag Colic
Background: Even when clubfoot deformity is treated in a timely manner, the consequences observed in adulthood include hypoplasia of the calf muscles, gait impairment, decreases in foot size and can also affect the tibial length. These consequences may have negative impacts on the patient's subjective appraisal of long-term outcomes, and can influence the patient's self-esteem in both male and female patients. Objectives: We present our experience in the treatment of undeveloped calves after surgical treatment of congenital clubfoot...
February 21, 2018: Aesthetic Surgery Journal
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