Assessment of talipes equinovarus treated by Ponseti technique: Three-year preliminary report

Yapp, Liam Z; Arnold, Graham; Nasir, Sadiq; Wang, W.J.; Maclean, J. G. B.; Abboud, Rami

doi:10.1016/j.foot.2012.01.001

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…There are several scoring systems that have been used as assessment tools to evaluate the severity of clubfoot deformity. But there is no universal standard assessment method available to quantify the initial severity of the clubfoot (Jain et al, 2001 ; Gigante et al, 2004 ; Dyer and Davis, 2006 ; Ramanathan et al, 2009 ; Ramanathan and Abboud, 2010 ; Yapp et al, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the following imaging methods have been used as an objective assessment to quantify the severities of the clubfoot such as magnetic resonance imaging (MRI) (Cahuzac et al, 1999 ; Itohara et al, 2005 ; Duce et al, 2013 ), computed tomography (CT) (Reikeras et al, 2001 ; Ippolito et al, 2004 ; Farsetti et al, 2009 ), and radiography or X-ray methods (Ippolito et al, 2004 ; Baghdadi et al, 2017 ). However, several studies reported that there is no universal standard assessment method available at present to quantify the initial severity of the clubfoot or monitor the clubfoot treatment (Jain et al, 2001 ; Gigante et al, 2004 ; Dyer and Davis, 2006 ; Ramanathan et al, 2009 ; Ramanathan and Abboud, 2010 ; Yapp et al, 2012 ; Bhaskar and Patni, 2013 ). Because it is difficult to obtain the objective measurements from all these classification systems (Catterrall classification system, Pirani scoring, Dimeglio classification system, and Harrold and Walker classification system) due to subjective in nature (Wainwright et al, 2002 ; Jain et al, 2012 , 2017 ; Fan et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

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Developing a Three-Dimensional (3D) Assessment Method for Clubfoot—A Study Protocol

et al. 2018

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Background: Congenital talipes equinovarus (CTEV) or clubfoot is a common pediatric congenital foot deformity that occurs 1 in 1,000 live births. Clubfoot is characterized by four types of foot deformities: hindfoot equinus; midfoot cavus; forefoot adductus; and hindfoot varus. A structured assessment method for clubfoot is essential for quantifying the initial severity of clubfoot deformity and recording the progress of clubfoot intervention.Aim: This study aims to develop a three-dimensional (3D) assessment method to evaluate the initial severity of the clubfoot and monitor the structural changes of the clubfoot after each casting intervention. In addition, this study explores the relationship between the thermophysiological changes in the clubfoot at each stage of the casting intervention and in the normal foot.Methods: In this study, a total of 10 clubfoot children who are <2 years old will be recruited. Also, the data of the unaffected feet of a total of 10 children with unilateral clubfoot will be obtained as a reference for normal feet. A Kinect 3D scanner will be used to collect the 3D images of the clubfoot and normal foot, and an Infrared thermography camera (IRT camera) will be used to collect the thermal images of the clubfoot. Three-dimensional scanning and IR imaging will be performed on the foot once a week before casting. In total, 6–8 scanning sessions will be performed for each child participant. The following parameters will be calculated as outcome measures to predict, monitor, and quantify the severity of the clubfoot: Angles cross section parameters, such as length, width, and the radial distance; distance between selected anatomical landmarks, and skin temperature of the clubfoot and normal foot. The skin temperature will be collected on selected areas (forefoot, mid foot, and hindfoot) to find out the relationship between the thermophysiological changes in the clubfoot at each stage of the casting treatment and in the normal foot.Ethics: The study has been reviewed and approved on 17 August 2016 by the Sydney Children's Hospitals Network Human Research Ethics Committee (SCHN HREC), Sydney, Australia. The Human Research Ethics Committee (HREC) registration number for this study is: HREC/16/SCHN/163.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Developing a Three-Dimensional (3D) Assessment Method for Clubfoot—A Study Protocol

et al. 2018

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“…Congenital talipes equinovarus (CTEV), or clubfoot, is a common foot deformity that involves a complex three-dimensional musculoskeletal abnormality. 1 The deformity has 4 main components: equinus, varus, cavus, and adduction. 1 , 2 If the deformity is not corrected promptly, the ambulatory ability of children will be seriously affected.…”

Section: Introductionmentioning

confidence: 99%

“… 1 The deformity has 4 main components: equinus, varus, cavus, and adduction. 1 , 2 If the deformity is not corrected promptly, the ambulatory ability of children will be seriously affected. Nonoperative treatments are typically considered the first choice for treating CTEV in young children.…”

Section: Introductionmentioning

confidence: 99%

“…During the prewalking period, the Ponseti method is usually regarded as the standard initial treatment for CTEV. 1 , 4 – 6 For short-term effect of the Ponseti treatment, corrective bracing is used following initial correction. 7 According to published reports, 8 the highest rate of recurrence occurs between 1.5 and 4 years of age.…”

Section: Introductionmentioning

confidence: 99%

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Correcting Congenital Talipes Equinovarus in Children Using Three Different Corrective Methods

Chen

Yang

et al. 2015

Medicine

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Equinus, varus, cavus, and adduction are typical signs of congenital talipes equinovarus (CTEV). Forefoot adduction remains a difficulty from using previous corrective methods. This study aims to develop a corrective method to reduce the severity of forefoot adduction of CTEV children with moderate deformities during their walking age. The devised method was compared with 2 other common corrective methods to evaluate its effectiveness.A Dennis Brown (DB) splint, DB splint with orthopedic shoes (OS), and forefoot abduct shoes (FAS) with OS were, respectively, applied to 15, 20, and 18 CTEV children with moderate deformities who were scored at their first visit according to the Diméglio classification. The mean follow-up was 44 months and the orthoses were changed as the children grew. A 3D scanner and a high-resolution pedobarograph were used to record morphological characteristics and plantar pressure distribution. One-way MAVONA analysis was used to compare the bimalleolar angle, bean–shape ratio, and pressure ratios in each study group.There were significant differences in the FAS+OS group compared to the DB and DB+OS groups (P < 0.05) for most measurements. The most salient differences were as follows: the FAS+OS group had a significantly greater bimalleolar angle (P < 0.05) and lower bean–shape ratio (P < 0.01) than the other groups; the DB+OS and FAS+OS groups had higher heel/forefoot and heel/LMF ratios (P < 0.01 and P < 0.001) than the DB group.FAS are critical for correcting improper forefoot adduction and OS are important for the correction of equinus and varus in moderately afflicted CTEV children. This study suggests that the use of FAS+OS may improve treatment outcomes for moderate CTEV children who do not show signs of serious torsional deformity.

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Development of an orthosis for simultaneous three-dimensional correction of clubfoot deformity

Khas

Pandey

Ray

2018

Clinical Biomechanics

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Assessment of talipes equinovarus treated by Ponseti technique: Three-year preliminary report

Cited by 5 publications

References 13 publications

Developing a Three-Dimensional (3D) Assessment Method for Clubfoot—A Study Protocol

Developing a Three-Dimensional (3D) Assessment Method for Clubfoot—A Study Protocol

Correcting Congenital Talipes Equinovarus in Children Using Three Different Corrective Methods

Development of an orthosis for simultaneous three-dimensional correction of clubfoot deformity

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