A Method of Application of a Clubfoot Cast

Veselý, David

doi:10.1097/00003086-197205000-00010

Cited by 5 publications

(3 citation statements)

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“…1,13 Most orthopaedic surgeons agree that the initial treatment of congenital club foot should be nonoperative, beginning in the first days of life few authors described their technique of casting precisely. Kite, 14 Shaw, 15 Vessely, 16 Ikeda et al, 17 Bensahel et al 18 Ignacio Ponseti, described a protocol consisted of weekly manipulations and long leg casting. This calls for forefoot abduction with counter-pressure on the neck of the talus.…”

Section: Introductionmentioning

confidence: 99%

Treatment of persistent forefoot adduction during ponseti method in treatment of idiopathic talipes equinovarus by minimal soft release

Abdullah

2016

Journal of Orthopaedics

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Section: Introductionmentioning

confidence: 99%

Treatment of persistent forefoot adduction during ponseti method in treatment of idiopathic talipes equinovarus by minimal soft release

Abdullah

2016

Journal of Orthopaedics

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“…All the complications were due to defective plastering technique and were unique to initial patients. Hence in this study, as there is only 3 patients out of 50 patients who had failure, ponseti's method was a success [6][7][8]. In terms of number of patients the success rate is 93%.…”

Section: Complicationsmentioning

confidence: 73%

Treatment of Congenital Idiopathic Clubfoot: Ponseti Method

Sobhan¹,

Ali²,

Sultana³

2020

SJAMS

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Original Research Article Clubfoot is a birth defect that is marked primarily by a deformed talus (ie, ankle) and calcaneous (ie, heel) that give the foot a characteristic "club-like" appearance. In congenital idiopathic clubfoot (ie, talipes equinovarus), the infant's foot points downward (ie, equinus) and turns inward (ie, varus), while the forefoot curls toward the heel (ie, adduction). This congenital disorder has an incidence of 1 in 400 live births, with boys affected twice as often as girls. Unilateral clubfoot is somewhat more common than bilateral clubfoot and may occur as an isolated defect or in association with other disorders (eg, chromosomal aberrations, cerebral palsy, spina bifida, arthrogryposis). Our study aim was to evaluate Ponseti Method for The Management of Congenital idiopathic clubfoot. This was a descriptive crosssectional study conducted in the dept. of orthopaedics, Adhunik Sadar hospital chapainawabganj, Bangladesh during the period from January 2017 to June 2018. Data was collected from patients with idiopathic clubfoot, presenting at selected hospital. Both, unilateral, bilateral were included in the study. In this this study, we have treated 50 children with idiopathic clubfoot by Ponseti method of correction of serial manipulation and casting. Among the 50 children, 24 had unilateral and 22 bilateral involvement. Male were 26 and remaining 20 were female. Most children had grade III and grade IV (Dimeglio et al., grading) deformity. The mean number of casts required was 5.76 (4 to 10). Tenotomy was required in 12 feet (40%). The scores for the entire group ranged from 4.0 to 7.0 (of 10) and 4 to 19 (of 20) in the Dimeglio classification. Pirani scores for the age group 0-6 months were 4.46, 6 months to 1 year were 5.36 and 1-2 years were 5.75 respectively. The results were excellent in 88.3% and good in 11.7%. Initial and final scores were statistically evaluated with paired 'T' test with a 'T' value of 36.76 with a 'P' value of less than 0.001. Thus there was a significant reduction in the score from the pre level because of intervention. Results: Similar good results and low requirement for surgical interventions other than Achilles tenotomy, which forms part of the Ponseti regimen, were found. In terms of number of patients the success rate is 87% and in terms of the number of feet the success rate is 91%. This study demonstrates that treatment of congenital talipes equine varus by conservative management of ponseti method can be sufficient.

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“…Shaw 22 recommended correcting the deformity through dorsiflexing and everting the calcaneus with the index finger and thumb while using the thenar eminence to bring the forefoot into abduction, eversion and dorsiflexion. Vesely DG [23] tried to mold the forefoot into a valgus position and the hind foot into valgus and pronation. Both recommendations are contrary with Ponseti's principles, because forefoot pronation creates an increase of the cavus and locks the subtalar joint.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Achilles Tenotomy in Idiopathic Clubfoot treatment

Selmani

Ruci²,

Gjonej³

2023

AJTES

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Introduction; Percutaneous Achilles tenotomy is a standard procedure in most clubfoot patients treated with Ponseti method as the most widely use method of conservative clubfoot treatment. To our knowledge, there are not studies published in Albanian literature about this technique. Our goal is to present results of conservative treatment of idiopathic clubfoot where this technique was performed. Material and Method. This is a prospective study of all idiopathic clubfoot patients treated in our Institution with Ponseti Method. We performed this technique under sedation anesthesia in operation room, not in clinic. We measured age of patient at time of presentation, gravity according to Pirani score, number of casting, need for Achilles tenotomy). We measured the degree of angle of dorsiflexion before and after this procedure, the gravity and need for a second procedure. Results: Out 400 clubfeet treated during 2005-2010 we included in our study 372 case that needed the percutaneous Achilles tenotomy performed. Average age at presentation was 3 weeks. Average Pirani score was 5.5. The number of weekly serial cast needed before the tenotomy was 8. Dorsiflexion angle after this procedure was improved by 45 degree (range from 30 to 90 degree). Only 2 cases needed reoperation due to non-compliance with foot abduction bar and physiotherapy Conclusion: The percutaneous Achilles tenotomy is used in 93% of case with idiopathic clubfoot serie of patient. It is an easy technique performed with sedation anesthesia in operation room not with local anesthesia. Achilles tenotomy is an important element to avoid recurrence This supports other studies that have used this method.

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A Method of Application of a Clubfoot Cast

Cited by 5 publications

References 0 publications

Treatment of persistent forefoot adduction during ponseti method in treatment of idiopathic talipes equinovarus by minimal soft release

Treatment of persistent forefoot adduction during ponseti method in treatment of idiopathic talipes equinovarus by minimal soft release

Treatment of Congenital Idiopathic Clubfoot: Ponseti Method

Percutaneous Achilles Tenotomy in Idiopathic Clubfoot treatment

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