Atypical or complex clubfoot constitutes a small number of cases. Due to the difference in complexity of anatomy, standard deformity correction by Ponseti is not effective. Hence a modified Ponseti method was advised which focuses on deformity differences for treatment. We conducted a prospective study to analyze the outcome in atypical or complex clubfoot treated with the modified Ponseti method. All the children of age less than 1 year were included in the study with atypical or complex clubfoot. Every case was treated according to the modified Ponseti method and tenotomy. Pirani scores were measured at pretreatment, each visit, before application of a brace, and at the latest follow-up. Statistical analysis of all continuous and categorical variables was done. A total of 30 patients (47 feet) were included in the study. Mean Pirani score improved from 5.69 at presentation to 0.45 at time of brace application and latest follow-up 0.34 (p < .001). Six patients (9 feet) had a relapse which was managed with recasting. The mean Pirani score of relapse was 0.72, which after correction reduced to 0.11 (p = .008). Six patients had cast-related complications which were managed with conservative treatment. With an increase in popularity of the Ponseti method, a greater number of complex clubfoot cases are seen due to inadequate reduction or slippage of cast or improper cast application techniques. All these need to be identified at an early age. This helps in proper treatment and improves the quality of life as well as foot appearance.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1053/j.jfas.2022.01.024 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Factors 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 PDFAim: This study aims to determine how often Achilles tenotomy is performed on patients who have congenital talipes equinovarus (CTEV) and have been managed with Ponseti serial casts.
Materials And Methods: This prospective cohort study took place from November 2021 to May 2023 in the orthopedic unit of Hayatabad Medical Complex, Peshawar, Pakistan. About 38 pediatric patients with CTEV, who received treatment in the form of Ponseti casting, were enrolled in the study.
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 PDFRisk Factors for Developmental Dysplasia of the Hip: A Critical Analysis About an Unclear Relationship.
J Clin Med
November 2024
BIOMORF Department of Biomedical, Dental, Morphological and Functional Images, University of Messina, A.O.U Policlinico "G. Martino", Via Consolare Valeria 1, 98124 Messina, Italy.
Article Synopsis
- The study aimed to investigate how various prenatal risk factors influence developmental dysplasia of the hip (DDH) in newborns, specifically looking at the Graf grading system.
- Data was analyzed from 112 newborns diagnosed with DDH, focusing on specific risk factors like breech presentation, firstborn status, and other orthopedic conditions, using logistic regression to evaluate their impact.
- Results indicated that some factors, such as lower limb malformations, may protect against unstable DDH, while others, particularly for females, increased the risk of developing unstable forms of the condition.
Talocalcaneonavicular Realignment: The Foundation for Comprehensive Reconstruction of Severe, Resistant Neurologic Cavovarus, and Equinocavovarus Foot Deformities in Children and Adolescents.
J Pediatr Orthop
February 2025
Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Introduction: The progression of neurologic cavovarus (NCV) and equinocavovarus (NECV) foot deformities during growth can eventually lead to non-reducible severe talonavicular (TN) and subtalar (ST) joint rotational malalignments. This study aimed to describe a technique to correct severe, resistant inversion deformity of the ST joint complex as the foundational procedure in comprehensive reconstruction of multi-segmental NCV and NECV deformities in pediatric patients and to analyze mid-term radiologic, functional, and satisfaction outcomes.
Methods: This prospective study included children with severe NCV and NECV foot deformities who underwent TCNR between 2019 and 2022, with a minimum follow-up of 2 years.
Want 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!