AI Article Synopsis
- The study aimed to evaluate a new protocol for treating neonatal clubfeet, which modifies the traditional Ponseti method by performing Achilles tendon tenotomy before the first cast and using only one cast for three weeks post-tenotomy.
- The modified method was tested on 50 children (82 club feet) and assessed using scoring systems, with follow-up periods ranging from 24 to 32 months.
- Results indicated an 85% success rate in correcting clubfeet, particularly when Pirani scores were 5 or less and Dimeglio scores were 15 or less; however, high scores immediately after tenotomy and poor splint use were linked to treatment failure.
Article Abstract
The aim of this study was to assess the outcome of a new protocol for the management of neonatal clubfeet that can be considered as a modification of the Ponseti method. The modifications consisted of performing the tenotomy of the Achilles tendon prior to the application of the first cast and using only one cast for a period of 3 weeks following tenotomy. We applied the modified method in 50 children (82 club feet) and assessed the degree of deformity using the Pirani and the Dimeglio scoring systems. The minimum follow-up period was 28 months (range: 24-32). The intermediate range follow-up results of this study showed that the modified Ponseti method was associated with a good outcome in 85% of cases of neonatal club feet with a Pirani score of 5 or less and a Dimeglio score of 15 or less. Persistently high Pirani or Dimeglio scores immediately after tenotomy and poor compliance with splintage were predictors of failure of the modified technique.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Determinants of Improvement in Foot Bimalleolar Angle, Pirani Score, and Recurrence in Clubfoot Patients Treated With the Ponseti Technique.
Cureus
December 2024
Department of Orthopaedics, Fortis Hospital, Ludhiana, Ludhiana, IND.
Introduction: Foot bimalleolar angle (FBM angle) and Pirani score are recognized as assessment and prognostic tools for objective assessment of clubfoot (congenital talipes equinovarus, or CTEV) treatment. The present study proposed to study various factors that determine the improvement in FBM angle and Pirani score in patients treated by the Ponseti technique.
Materials And Methods: This prospective observational study was conducted after obtaining ethical clearance, and 42 children with CTEV (60 feet) were enrolled.
Prevalence 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 PDFComparison between unilateral and bilateral clubfoot treated with Ponseti method at walking age: static and dynamic assessment.
J Pediatr Orthop B
October 2024
Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico - San Marco, University of Catania, Catania.
This study evaluated the static, postural, dynamic, and clinical outcomes among five groups of patients: a bilateral CTEV (congenital talipes equinovarus) group treated with tenotomy (n = 14), bilateral CTEV group treated conservatively (n = 6), unilateral CTEV group treated with tenotomy (n = 7), unilateral CTEV group treated conservatively (n = 3), and control group (n = 20). Data were collected through baropodometric examinations and clinical evaluations using Pirani, clubfoot assessment protocol, foot and ankle disability index (FADI), and American Orthopedic Foot and Ankle Society scores. Bilateral CTEV patients treated with tenotomy showed no statistically significant differences compared to healthy controls.
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 PDFIs percutaneous heel cord tenotomy a necessary component in the Ponseti treatment of idiopathic clubfoot deformity?
J Pediatr Orthop B
January 2025
Department of Orthopaedic Surgery, Scottish Rite for Children, Dallas, Texas, USA.
This study aimed to compare outcomes of idiopathic clubfeet (IC) treated with a percutaneous heel cord tenotomy (PHCT) at the conclusion of Ponseti casting with those that were not. A retrospective review of patients enrolled in a single institution prospective clubfoot registry over 19 years was performed. Patients under the age of 3 months with untreated IC managed via the Ponseti method that had a minimum of 2 years follow-up were included.
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!