The Ponseti technique involves sequential clubfoot correction by abduction, supination, and finally dorsiflexion. Although shown to be effective, correction progression has not been examined. The Dimeglio/Bensahel classification system was used to analyze heel equinus, varus, midfoot rotation, adduction, posterior crease, medial crease, and cavus initially and after each casting. From 2000 to 2008, 123 patients (185 feet) with idiopathic clubfeet, aged below 60 days, without prior treatment were grouped by number of casts required. Successive castings achieved goals of reducing cavus and medial crease first, then gradually correcting midfoot rotation, adduction, and heel varus. Unexpectedly, heel equinus improved simultaneously with midfoot variables, as well as with final casting.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/BPB.0b013e328346c03b | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Review 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 PDFThe kinematic coupling during Ponseti correction in idiopathic clubfoot: A quantitative analysis.
J Clin Orthop Trauma
December 2024
Chacha Nehru Bal Chikitsalaya, New Delhi, India.
Background: The study aimed to quantify and correlate kinematic coupling linkage of foot abduction (correction of adduction) and inversion, heel varus and ankle equinus for clubfeet corrected by Ponseti technique.
Methods: Measurements of foot abduction (derotation of carpopedal block), heel varus and ankle equinus were available from Dimeglio scores in 25 feet. Radiological angles were considered for foot inversion-eversion.
Association 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.
Prenatal diagnosis and postnatal follow-ups of 38 clubfoot cases in a tertiary reference center.
Rev Assoc Med Bras (1992)
December 2024
University of Health Sciences, Turkish Ministry of Health Ankara City Hospital, Department of Obstetrics and Gynecology, Division of Perinatology - Ankara, Turkey.
Objective: The objective of this study was to evaluate the descriptive outcomes of 38 prenatally suspected clubfoot cases.
Methods: This is a retrospective cohort study conducted in Ankara Bilkent City Hospital's perinatology clinic. All consecutive cases with the diagnosis of fetal clubfoot between 2020 and 2023 were included.
Early clubfoot recurrence can lead to more frequent and earlier second recurrences.
J Pediatr Orthop B
October 2024
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.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!