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Idiopathic club foot

Anil Agarwal, Nargesh Agrawal, Sitanshu Barik, Neeraj Gupta
We evaluated the outcome of a new protocol of an extended Ponseti method in the management of idiopathic club foot with residual equinus following failed Achilles tenotomy. We also compared the failed with a successful tenotomy group to analyze the parameters for failure. The Ponseti technique-treated idiopathic club foot patients with failed percutaneous Achilles tenotomy (failure to achieve <15° dorsiflexion) were treated by continued stretching casts, with a weekly change for a further 3 weeks. Final dorsiflexion more than 15° if achieved with the above protocol was recorded as a success...
January 29, 2018: Journal of Pediatric Orthopedics. Part B
Muhammad Qaisar Shah, Alamzeb Khan, Muhammad Shoaib Zardad, Rizwana Iqbal, Sajjad Ahmed
BACKGROUND: Clubfoot or congenital talipes equinovarus, is a congenital deformity of the foot. It consists of cavus, adduction, varus and equinus. This is due to medial displacement of navicular and calcaneus around the talus. Talus is in equinus. Medial deviation of the head and neck of talus is due to force of calcaneus on talus. METHODS: This descriptive case series study was conducted at Orthopaedic unit, Ayub Teaching Hospital, Abbottabad from 1st August 2015 to 31st January 2016 to determine the frequency of idiopathic clubfoot correction, by using the Ponseti method...
April 2017: Journal of Ayub Medical College, Abbottabad: JAMC
Vikas Trivedi, Sumit Badhwar, Abhay S Dube
INTRODUCTION: Idiopathic clubfoot is one of the most common and oldest congenital foot anomalies. There are controversies regarding its optimum management protocol and methodologies to be employed for its functional outcome evaluation. This paper attempts to propose a simple, reasonable and easily reproducible technique of podography for clinical and functional evaluation of clubfoot treated by the popular Ponseti technique. AIM: To compare the Foot Bimalleolar (FBM) angle method (podography) and radiography with respect to management of idiopathic clubfoot by Ponseti's Technique and its functional evaluation...
February 2017: Journal of Clinical and Diagnostic Research: JCDR
Ozgur Karakoyun, Sami Sokucu, Mehmet Fatih Erol, Metin Kucukkaya, Yavuz Selim Kabukçuoğlu
PURPOSE: To report our experience with the PRECICE nail for limb lengthening in 23 patients. METHODS: Records of 15 female and 8 male patients aged 14 to 38 (mean, 23.6) years who underwent lengthening of the tibia (n=6) or femur (n=21) using the PRECICE nail were reviewed. The reasons for lengthening included trauma (n=7), hemihypertrophy (n=2), focal femoral deficiency (n=2), Ellis-van Creveld syndrome (n=1), hip septic arthritis sequelae (n=1), hereditary multiple exostosis (n=1), club foot sequela (n=1), congenital tibial pseudoarthrosis (n=1), fibrous dysplasia (n=1), idiopathic limb length discrepancy (n=7), and cosmetic (n=1)...
December 2016: Journal of Orthopaedic Surgery
Shahid Muhammad Khan, Safdar Muhammad Khanzada
Ponsetti method has an excellent outcome in the management of club foot. The presented case series will spread awareness by showing the results of this technique used in secondary care centers, to share the burden of care from tertiary care hospitals. A descriptive case series was conducted at Shah Bhitai District Government Hospital, Hyderabad Sindh. Patients presenting with Idiopathic Clubfoot between birth and 12 months of age of either sex were included. The patients were followed for 5 months from the removal of their last cast...
January 2016: JPMA. the Journal of the Pakistan Medical Association
M T Alam, E B Akber, Q S Alam, M S Reza, A H Mahboob, S I Salam, M S Islam, I Ara
Congenital talipes equino varus (CTEV) is a common complex congenital anomaly affecting approximately 1 per 900 live births in Bangladesh. Current trends in the treatment of idiopathic clubfoot have shifted from extensive surgical release to more conservative techniques. The Ponseti method that includes manipulation, serial casting, percutaneous tenotomy and bracing has recently become very popular for the management of CTEV with reported excellent outcomes. The purpose of this study was to evaluate the outcomes of Percutaneous Tenotomy in the treatment of equinus deformity of idiopathic clubfoot...
July 2015: Mymensingh Medical Journal: MMJ
L Shabtai, E Segev, A Yavor, S Wientroub, Y Hemo
PURPOSE: There is conflicting evidence related to factors affecting the rates of recurrence of idiopathic club feet using the Ponseti method. We attempt to evaluate the predictors of success and failure in our physiotherapy-led Ponseti club foot clinic. METHODS: We evaluated 189 children with 279 club feet with a mean follow-up of 6.3 years for the following: Pirani score at presentation, number of casts for correction, indication for Achilles tenotomy, and the duration of foot abduction brace (FAB) use, in relation to outcome...
June 2015: Journal of Children's Orthopaedics
Mohammad Hallaj-Moghaddam, Ali Moradi, Mohammad Hosein Ebrahimzadeh, Seyed Reza Habibzadeh Shojaie
Between 2007 and 2010, a prospective study was done on 85 patients with severe idiopathic nonsyndromic clubfeet, in our center. Demographic features, severity of the deformity before and after serial casting according to Diméglio classification, and complications were assessed. The mean age of the patients was 8 days and 69% were male. The mean follow-up period was 26 months. The average number of castings used to correct the deformity was 5.7 times (range: 4 to 8). Tenotomy was performed in 76 (89.4%) of the feet...
2015: Advances in Orthopedics
Hatem S A Elgohary, Mazen Abulsaad
The purpose of this study was to compare the results of traditional and accelerated Ponseti techniques to clarify whether this technique can be done safely in reduced time with complete correction of the deformity and without complications. A total of 66 feet in 41 children with idiopathic club foot and with Pirani score no <4 were included; of these, 34 feet in 20 children were managed with the traditional Ponseti method with one cast a week, in the other 32 feet in 21 children, an accelerated technique was used with casting twice a week, and the Pirani score was used for initial assessment and for follow-up...
July 2015: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Pavel Akimau, Mark Flowers
BACKGROUND: We report our medium term outcomes following surgery for symptomatic planovalgus malalignment in children. The technique we describe commences with lateral column lengthening and includes subsequent bony and soft tissue procedures which are carried out 'a la carte' in response to the underlying pathology and the behaviour of the foot to the lateral column lengthening. METHODS: Surgery was undertaken on twenty five symptomatic planovalgus feet in 15 patients at a mean age of 12 years and 6 months (5 years 7 months to 16 years and 3 months)...
March 2014: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Anil Agarwal, Neeraj Gupta
PURPOSE: The prediction of number of casts in the Ponseti method has always remained a subject of interest. We investigated the correlation of the number of casts before tenotomy with the age and initial Pirani score in Ponseti treatment of club foot. METHODS: Inclusion criteria were idiopathic clubfeet corrected by Ponseti method requiring tenotomy for equinus correction in children up to ten years of age. Defaulters (noncompliance with serial casting schedule), children with postural, non idiopathic, previously surgically treated, recurrent clubfoot and clubfoot not requiring tenotomy were not included in this study...
March 2014: International Orthopaedics
S N Maripuri, P D Gallacher, J Bridgens, J H Kuiper, N T Kiely
We undertook a randomised clinical trial to compare treatment times and failure rates between above- and below-knee Ponseti casting groups. Eligible children with idiopathic clubfoot, treated using the Ponseti method, were randomised to either below- or above-knee plaster of Paris casting. Outcome measures were total treatment time and the occurrence of failure, defined as two slippages or a treatment time above eight weeks. A total of 26 children (33 feet) were entered into the trial. The above-knee group comprised 17 feet in 13 children (ten boys and three girls, median age 13 days (1 to 40)) and the below-knee group comprised 16 feet in 13 children (ten boys and three girls, median age 13 days (5 to 20))...
November 2013: Bone & Joint Journal
V Pavone, G Testa, L Costarella, P Pavone, G Sessa
BACKGROUND: Congenital talipes equinovarus (CTEV) is a common but still not fully understood disorder of the lower limb. It is usually defined as a fixation of the foot in adduction, supination, and varus. Different treatment options exist including the Ponseti method. AIM: We report here the results obtained in infants with CTEV treated by the Ponseti method. PATIENTS AND METHODS: Eighty two patients (114 clubfeet) were enrolled at the Orthopaedic Clinic of Catania University during the period of March 2004 to January 2010 and followed prospectively up to February 2011: 56 patients (68...
October 2013: European Review for Medical and Pharmacological Sciences
Martin Ošťádal, Jiri Chomiak, Pavel Dungl, Monika Frydrychová, Michal Burian
PURPOSE: Congenital club foot is one of the most common birth defects involving the musculoskeletal system. At present two methods are used for the treatment of this deformity: French and Ponseti method. The purpose of this study was to compare the short-term (up to three years) and long-term (three to seven years) results of treatment with the Ponseti method. METHODS: A total of 195 consecutive infants (143 boys and 52 girls) with idiopathic club foot treated with the Ponseti method in the period of 2005-2012 were included in this study; the total number of feet was 303...
September 2013: International Orthopaedics
S Marleix, M Chapuis, B Fraisse, C Tréguier, P Darnault, C Rozel, M Rayar, P Violas
The Ponseti method applied to treating idiopathic club foot consists in placing successive corrective casts, possibly an Achilles tendon tenotomy, then derotation braces, a method that has proven its efficacy. This study compared 221 cases of club foot treated with this method between 2002 and 2007 divided into two groups, based on whether or not Achilles tendon tenotomy was performed. Assessment was both clinical and sonographic. We observed clear improvement of the results in the group that underwent Achilles tendon tenotomy and a significant difference in the rate of secondary surgery...
June 2012: Orthopaedics & Traumatology, Surgery & Research: OTSR
Milind M Porecha, Dipak S Parmar, Hiral R Chavda
BACKGROUND: Long-term success reports by Dr. Ponseti with the Ponseti method in the treatment of congenital idiopathic clubfoot have led to a renewed interest in this method among pediatric orthopedists. The purpose of this study is to evaluate mid-term effectiveness of Ponseti method for the treatment of congenital idiopathic clubfoot. MATERIAL AND METHODS: A total of 49 patients (67 clubfeet) were treated by Ponseti method by single orthopedic surgeon during the period of October 03 to July 07 and were studied prospectively up to July 10 (mean follow up period 5 years, minimum follow-up period of 3 years)...
2011: Journal of Orthopaedic Surgery and Research
Raju Rijal, Bikram Prasad Shrestha, Girish Kumar Singh, Mahipal Singh, Pravin Nepal, Guru Prasad Khanal, Pramila Rai
BACKGROUND: The manipulation and corrective cast application for club foot was known to be done by Kite's method. The Kite's method of manipulation (center of rotation of malaligned foot and fulcrum on cuboid) was modified by Ponseti (fulcrum on head of talus). Recently, Ponseti's method has gained popularity and vastly improved results are reported. We report randomized controlled trial where manipulation of club foot was done by Ponseti's and Kite's method and correction evaluated by Pirani score to compare the outcome of treatment...
April 2010: Indian Journal of Orthopaedics
B S Souna, S Ganda, C L Aboubacar, I Assoumane
From January 2000 to december 2006, 40 club foot have been collected to the service of the frequency of the inveterate equin varus club foot is 0.3%. The average age is 12.13 years with extremes of 3 years to 20 years. The masculine sex is predominate with sex ratio of 1.08. Most patients come from the farming zones either 86.2% of the sample with parents to 93.1% without level of instruction. The bilateral attack predominates in 55% of the cases. On the therapeutic plan, ours patients benefited from the surgical technique of postero medical soft tissue release and lateral ostestomy in one time...
2009: Le Mali Médical
M Mehrafshan, V Rampal, R Seringe, P Wicart
The results of further soft-tissue release of 79 feet in 60 children with recurrent idiopathic congenital talipes equinovarus were evaluated. The mean age of the children at the time of re-operation was 5.8 years (15 months to 14.5 years). Soft-tissue release was performed in all 79 feet and combined with distal calcaneal excision in 52 feet. The mean follow-up was 12 years (4 to 32). At the latest follow-up the result was excellent or good in 61 feet (77%) according to the Ghanem and Seringe scoring system...
July 2009: Journal of Bone and Joint Surgery. British Volume
Doris Stüder
No abstract text is available yet for this article.
March 2009: Zeitschrift Für Orthopädie und Unfallchirurgie
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