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Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children.
J Pediatr Orthop B
January 2025
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Delhi, India.
Pirani scoring system is one of the most commonly used tools to assess the initial deformity, monitor the treatment progression, and identify relapse in clubfoot. The method has been demonstrated to correlate well with the sequential correction of deformity for children under age 1 year. We conducted a study to examine the interobserver reliability of Pirani scores in children of walking-age.
View Article and Find Full Text PDFPrevalence and Risk Factors for Leg Length Discrepancy in Children With Idiopathic Clubfoot Treated With Ponseti Method.
J Pediatr Orthop
January 2025
Department of Orthopaedics, Washington University School of Medicine, St. Louis, MO.
Introduction: Clubfoot is at times associated with other lower extremity abnormalities, such as leg length discrepancy (LLD). Initial studies in patients treated with extensive soft tissue release (STR) have estimated that LLD is prevalent in 9% to 11% of children with idiopathic clubfoot. However, Ponseti-style serial casting has since replaced STR as the preferred clubfoot treatment method.
View Article and Find Full Text PDFFactors influencing recurrence in clubfoot treatment with the Ponseti method in children under 5 years of age: a scoping review.
J Pediatr Orthop B
January 2025
Pediatric Orthopedics Department, Hospital San Ignacio, Bogotá, Colombia.
Clubfoot (CF) is one of the most common musculoskeletal congenital abnormalities. Despite having optimal methods for its treatment, factors associated with the recurrence of CF treatment continue to be a topic of interest. The aim of this study was to perform a scoping review of the existing literature on factors associated with the recurrence of CF following treatment with the Ponseti method in children under 5 years of age.
View Article and Find Full Text PDFReview Article: Current Concepts in the Treatment of Congenital Clubfoot.
Rev Bras Ortop (Sao Paulo)
December 2024
Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil.
Congenital clubfoot is a complex, frequent deformity that can be challenging even in experienced hands. The Ponseti method remains universally accepted as the gold standard for treatment, and excellent outcomes are within expectations in most cases with appropriate technical management. Recurrences continue to be a problem and are mainly associated with non-compliance with orthosis use.
View Article and Find Full Text PDFAssociation of Polymorphism in Locus of rs274503 (/) with the Risk of Idiopathic Clubfoot in Chinese Children: An 11-Center Case-Control Study.
Genet Test Mol Biomarkers
December 2024
Department of Pediatric Orthopedics, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, China.
Article Synopsis
- Idiopathic clubfoot (IC) can be initially corrected with the Ponseti method, but often recurs, potentially due to various unknown genetic and environmental factors, including a specific genetic marker (rs274503) found in Caucasian children.
- An 11-center study involving 516 IC patients and 661 healthy children in China identified that the G variant of rs274503 is linked to a higher risk of developing IC, particularly in cases with bilateral involvement.
- While the G variant of rs274503 was associated with increased IC risk, the results were not significant in all genetic models, indicating the need for more research to validate these findings.
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