There is reported to be no increased risk for developmental dysplasia of the hip in children with idiopathic clubfoot. The purpose of this study was to determine the incidence of radiographic hip dysplasia in infants with idiopathic clubfoot. Fifty-one children with idiopathic clubfoot who underwent surgical release by a single surgeon had anterior-posterior pelvis radiographs obtained at 4 or more months of age to screen for developmental dysplasia of the hip. The acetabular index measured more than 28 degrees in eight children (16%). This study suggests an association between idiopathic clubfoot and developmental dysplasia of the hip.
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The Ponseti Method vs. Surgical Treatment for Idiopathic Clubfoot: A Prospective Long-Term Follow-Up.
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Pediatric and Adolescent Unit, Department of Trauma and Orthopedics, Medical University of Graz, 8036 Graz, Austria.
Idiopathic clubfoot is a common skeletal deformity in newborns that can cause functional limitations, pain, and reduced quality of life. The Ponseti method has become the gold standard for clubfoot treatment, replacing previous extensive surgical approaches. However, there is a lack of prospective long-term data comparing surgical and Ponseti treatments.
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Physical Therapist, Paraplegic Center Peshawar, Pakistan.
Background: The Ponseti method for clubfoot treatment is a non-surgical treatment with a successful outcome. However, many children are not able to complete Ponseti treatment due to various barriers and are termed dropout children. This study aimed to find out the factors responsible for dropout from clubfoot treatment in Peshawar, Pakistan.
View Article and Find Full Text PDFThe kinematic coupling during Ponseti correction in idiopathic clubfoot: A quantitative analysis.
J Clin Orthop Trauma
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Chacha Nehru Bal Chikitsalaya, New Delhi, India.
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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.
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Early clubfoot recurrence can lead to more frequent and earlier second recurrences.
J Pediatr Orthop B
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Department of Orthopaedics, Washington University School of Medicine, St. Louis, Missouri, USA.
The frequency of multiple clubfoot recurrences following Ponseti casting and the effect on final outcomes have not been well studied. This study aims to evaluate the effect of early recurrence (during the first 2 years) on the timing and rate of subsequent recurrences. A retrospective review was conducted of children treated with Ponseti casting at a single institution from 2002 to 2023 with minimum follow-up until age 5.
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