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

Ganesan, Balasankar; Luximon, Ameersing; Al-Jumaily, Adel; Yip, Joanne; Gibbons, Paul; Chivers, Alison

doi:10.3389/fphys.2017.01098

Cited by 8 publications

(2 citation statements)

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“…Burhan et al reported that the Kinect® XBOX 360 gaming sensor is capable of producing 3D reconstructed geometry in designing orthotic with good functionality [25]. Only one study investigated changes in clubfoot structure and thermo-physiological functioning status during each casting step of clubfoot treatments using a Kinect 3D scanner and an infrared camera [26]. The purpose of this study is to employ a Kinect 3D scanner to do a threedimensional assessment of clubfoot in order to establish the severity of the problem at the outset and to track structural changes in the clubfoot after each casting intervention.…”

Section: Introductionmentioning

confidence: 99%

Three Dimensional (3D) Assesment of Clubfoot

Chaudhary

Samal

Chaudhary³

2021

JPRI

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Background: The congenital talipes equinovarus (CTEV) or clubfoot is one of the most common and complex congenital deformities and is a completely reversible condition with timely and appropriate treatment. The aim of this study is to perform three dimensional assessments for clubfoot to evaluate the initial severity of the clubfoot and to monitor the structural changes in clubfoot after each casting intervention. Methods: A Comparative Experimental Prospective Study conducted from October 2019 to October 2021 for a period of 2 year in the Department of Orthopaedics, JNMC & AVBRH. The 3D scanning using Kinect 3D scanner is performed weekly before each casting. Pirani Score and 3D assessment at different time periods are considered as primary outcome variables. Results: In this study we will get to know the severity of club foot after each casting interval and the structural changes can the evaluated in foot of patient to quantify the extent of disease and the improvement after treatment protocol Conclusion: Our study primarily tries to evaluate clubfoot by using 3D scanner and get the quantification of the disease

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Section: Introductionmentioning

confidence: 99%

Three Dimensional (3D) Assesment of Clubfoot

Chaudhary

Samal

Chaudhary³

2021

JPRI

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“…Clubfoot, also known as Congenital Talipes Equinovarus, represents a frequent pediatric congenital deformity of the foot, occurring 1 in 1.000 live births. [ 1 ]…”

Section: Introductionmentioning

confidence: 99%

Finite-element-based 3D computer modeling for personalized treatment planning in clubfoot deformity

et al. 2018

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Rationale:In clubfoot deformity, planning of corrective treatment requires a complex understanding of the foot anatomy, as well as of the geometry and distribution of altered mechanical forces acting at the level of the deformed foot. At the same time, treatment success depends largely on the selection of the most appropriate shape and angles of the customized orthesis developed for foot correction. Therefore, a complex assessment of the intensity and distribution of the mechanical forces at this site is mandatory prior to initiation of any corrective therapy.Patient concerns:We present here the case of a 3-year-old male child with clubfoot deformity, weighting 20 kg, with no other congenital malformations, in whom finite element modeling (FEM) technology associated with a newly developed technique of three-dimensional (3D) computational simulation was applied for personalized treatment planning.Interventions:The FEM-based computational 3D simulation technique allowed selection of the corrective treatment associated with the most physiologic pattern of force distribution at the level of the foot.Outcomes:The proposed technique led to selection of the most appropriate therapy that successfully corrected the foot deformity. After 3D computer simulations, the elongations recorded were 2.71 cm for Achilles tendon, 1.69 cm for anterior tibialis tendon, 1.35 cm for the long flexor of the toes, and 1.69 cm for the long flexor of the hallux. The Von Mises equivalent stress distribution was σ = 4.26 MPa, not exceeding the elastic capacity of the bones, therefore the residual deformations were minimal. The customized treatment selected in this way was highly appropriate for the child, and led to complete recovery of the deformity in three months.Lessons:This case is the first one in which FEM-based computational 3D modeling was applied for selection of treatment strategy in a child with clubfoot. The case reported here illustrates the role of advanced medical computer technology, based on complex image processing, FEM and 3D simulations, in providing an effective clinical decision support tool for personalized treatment selection in children with clubfoot deformity.

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