Clinico-sonographical evaluation of idiopathic clubfoot and its correction by Ponseti method — A prospective study

Chawla, S.K.; Gupta, Mallika; Pandey, Varun; Jain, Akash; Kumar, Manoj

doi:10.1016/j.foot.2017.09.005

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…Contudo, é relevante enfatizar que os demais estudos (13,3%) não identificaram quaisquer satisfação e analogia com a qualidade de vida, uma vez que indicaram eficácia insuficiente ou irrelevante, privilegiando outros métodos (JEANS et al 2016;CHAWLA et al 2017;EVANS et al 2017;JACKSON et al 2017). Embora o número tenha sido bem inferior se comparado com os dados estatísticos relacionados com a positividade, é preciso refletir sobre tais achados.…”

Section: Discussionunclassified

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Cunha¹,

Souza

Sousa

et al. 2019

R. bras. Qual. Vida

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OBJETIVO: Analisar a contribuição da técnica de Ponseti para a qualidade de vida de crianças portadoras do pé torto congênito.MÉTODOS: A elaboração do trabalho foi realizada através de uma revisão sistemática da literatura, utilizando-se como descritores em Ciência da Saúde (DeCS) (português): pé torto congênito, qualidade de vida, técnica de Ponseti; e os medical subject headings (MeSH) (inglês): congenital biceps foot, quality of life e Ponseti technique. Foram selecionados artigos nas bases de dados: Public Medicine (Pubmed), Scientific Electronic Library Online (SciELO), Medical Literature Analysis and Retrievel System Online (MEDLINE) e Biblioteca Virtual de Saúde (BVS). Os artigos selecionados foram analisados quanto ao título, ao ano, à formação e ao tema principal. A pesquisa compreendeu artigos publicados entre 2013 e abril de 2018. Foram identificados 110 artigos, dos quais foram selecionados 30 artigos que se encaixaram nos critérios de inclusão.RESULTADOS: A partir dos estudos analisados, observou-se que 83,3% destes apontaram eficácia elevada no tratamento do pé torto congênito de crianças por meio da técnica de Ponseti associada a uma melhora na qualidade de vida.CONCLUSÕES: A técnica de Ponseti é altamente eficaz para correção da deformidade e propicia melhoria da qualidade de vida das crianças que são portadoras da patologia.

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Section: Discussionunclassified

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Cunha¹,

Souza

Sousa

et al. 2019

R. bras. Qual. Vida

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“…23,25 Through the posterior sagittal view, the distal tibial physis to proximal calcaneal apophysis distance (Ti-C) has been also described to reflect the position of the os calcis in the heel. 25,30 At our institution, we have been employing ultrasound to adequately describe the patho-anatomy of the clubfoot. We believe that ultrasound could add useful information at the outset of treatment and guide our treatment strategy in resistant clubfeet and/or those showing recurrence.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasound measurements in clubfoot treated with the Ponseti method and risk factors for recurrence: A retrospective study

Nahle¹,

Miron

Grimard

et al. 2022

Journal of Children's Orthopaedics

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Background: Recurrence remains the main challenge in the treatment of clubfoot. The primary goal of this study is to determine if ultrasound measurements are associated with recurrence after successful management with the Ponseti method. Furthermore, other factors are identified which can be associated with recurrence of the deformity. Methods: Seventy-six infants (114 idiopathic clubfeet), all treated with the Ponseti technique were reviewed. All patients had an ultrasound evaluation by the same radiologist at the beginning of the treatment. Recurrence, defined as the need to return to Ponseti casting, was recorded at a mean follow-up of 5 years. Measurements of association with recurrence were obtained for the following ultrasound measures: the medial talonavicular displacement (MTa-N), the medial malleolus to navicular distance (MM-N), the talocalcaneal angle (Ta-C), and the distal tibial physis to proximal calcaneal apophysis distance (Ti-C). Subsequently, a multivariate logistic regression analysis modeling recurrence examined patients’ characteristics, compliance, Achilles tenotomy, and ultrasound measurements. Results: Recurrence rate was 22% noted in 17 patients. On univariate analysis, relapse was associated with increased MTa-N (p = 0.038), decreased MM-N (p = 0.008), and decreased Ti-C (p = 0.023). On multivariate analysis, we identified the Ti-C as the only ultrasound measurement significantly associated with recurrence (p = 0.026). Other significant predictors for relapse in this study were noncompliance with orthosis (OR = 139.0 (95% CI: 8.7–2224.0), p < 10−3), and omitting percutaneous Achilles tenotomy in clubfoot treatment (OR = 23.9 (95% CI: 1.2–493.6), p = 0.041). Conclusion: The Ti-C sonographic measurement at the start of treatment can be a useful adjunct to help identify high-risk patients for recurrence of deformity. Non-compliance with bracing and omitting percutaneous Achilles tenotomy are also predictive factors. Level of evidence: Prognostic study, Level III

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Simulation of Tibialis Anterior Muscle Transfer for Congenital Clubfoot Based on OpenSim

Luo

Tang

et al. 2019

2019 4th Asia-Pacific Conference on Intelligent Robot Systems (ACIRS)

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Clinico-sonographical evaluation of idiopathic clubfoot and its correction by Ponseti method — A prospective study

Cited by 5 publications

References 25 publications

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Ultrasound measurements in clubfoot treated with the Ponseti method and risk factors for recurrence: A retrospective study

Simulation of Tibialis Anterior Muscle Transfer for Congenital Clubfoot Based on OpenSim

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