Experience in the Conservative Treatment of Congenital Clubfoot in Newborns and Infants

Karski, T; Wośko, I

doi:10.1097/01202412-198909020-00002

Cited by 6 publications

(5 citation statements)

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“…In literature, depending on the preoperative treatment method, the rate of operated feet increases from <15% to >70% of feet 19,[22][23][24][25][26][27] (45.5% in our series). Even if Richards et al 26 have shown no significant difference in the results between the Ponseti and the French functional method (> 90% of initial correction in both cases), a higher rate of normal kinematic ankle motion in the sagittal plane in patients treated with the physical therapy method has been shown 28,29 compared with a group treated with the Ponseti method (10% of feet with excessive dorsal flexion), despite a higher percentage of feet associated with knee hyperextension in this physical therapy group.…”

Section: Discussionmentioning

confidence: 96%

“…Related to the negative influence of extensive surgery on results, introduction of percutaneous Achilles tenotomy in selected cases 29 could be an improvement in the functional method in order to prevent the lack of ankle dorsal flexion. 21,25,28,30,31 According to the Ponseti method, tenotomy can be performed in the sixth week of life if the clinical dorsal flexion at that time is <15 degrees. It is performed in 70 to 80% of patients.…”

Section: Discussionmentioning

confidence: 99%

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Long-term Results of Treatment of Congenital Idiopathic Clubfoot in 187 Feet

Rampal

Chamond

Barthes

et al. 2013

Journal of Pediatric Orthopaedics

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Long-term Results of Treatment of Congenital Idiopathic Clubfoot in 187 Feet

Rampal

Chamond

Barthes

et al. 2013

Journal of Pediatric Orthopaedics

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“…7 Many authors did not manage to reproduce good results published by kite and feet that remained uncorrected or relapsed after conservative treatment underwent surgery. 8,9 During second half of the 20th century, posteromedial soft tissue release described by Turco became popular. 10,11 Modifications of the technique and their results were published subsequently.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Ponseti technique of manipulation and serial casting in idiopathic clubfoot

et al. 2019

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Background:Congenital talipes equinovarus is one of the commonest congenital foot deformities. Ponseti technique of treatment of clubfoot has gained popularity in the last few decades. Feet treated by Ponseti technique are supple, flexible and pain free. We have treated congenital idiopathic clubfoot with Ponseti technique at our institute and present our results. Methods: Forty eight feet in thirty children with clubfoot were treated by Ponseti technique in our institute. The study was conducted from December 2013 to December 2015. Parents were counselled regarding treatment protocol and maintenance with bracing was closely monitored. Each child was followed up for a minimum of six months. Pirani score was used to objectively document progress of treatment. Results: The average number of casts required for complete correction was 6.6. 38% feet required tendoachilles tenotomy. Higher the initial Pirani score, more number of casts were required to achieve full correction. Number of casts needed for complete correction did not correlate to time of presentation. Conclusions: Ponseti method is very effective in correcting congenital idiopathic clubfoot deformity. It's easy to learn, is inexpensive and can completely correct the deformity. In developing nations, well trained Orthopaedic surgeons can treat these children effectively and decrease disabled population.

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“…In this method, Achilles tenotomy is used to release the equinus deformity and bracing for maintaining the corrected clubfoot [19, 20], and it helps to obtain the plantigrade, functional, pain-free foot [21]. Although orthopedic surgeons agreed that initial treatment for clubfoot should be a conservative method to correct the clubfoot successfully [17, 22–27], the relapses, partial correction of clubfoot- rocker bottom foot is still not avoidable [28, 29]. Based on the literature search, in the past five decades, a number of studies have reviewed and published which include the history of development of conservative method and its management in the clubfoot [30, 31], controversies in the clubfoot management [32], current updates of clubfoot treatment and effectiveness of Ponseti method [1, 33, 34], different types of conservative methods (Ponseti techniques, Kite’s method, and French physical therapy method) and results of Ponseti methods [35], using sonography for the evaluation of clubfoot treatment outcome [36].…”

Section: Introductionmentioning

confidence: 99%

Ponseti method in the management of clubfoot under 2 years of age: A systematic review

et al. 2017

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BackgroundCongenital talipes equinovarus (CTEV), also known as clubfoot, is common congenital orthopedic foot deformity in children characterized by four components of foot deformities: hindfoot equinus, hindfoot varus, midfoot cavus, and forefoot adduction. Although a number of conservative and surgical methods have been proposed to correct the clubfoot deformity, the relapses of the clubfoot are not uncommon. Several previous literatures discussed about the technical details of Ponseti method, adherence of Ponseti protocol among walking age or older children. However there is a necessity to investigate the relapse pattern, compliance of bracing, number of casts used in treatment and the percentages of surgical referral under two years of age for clear understanding and better practice to achieve successful outcome without or reduce relapse. Therefore this study aims to review the current evidence of Ponseti method (manipulation, casting, percutaneous Achilles tenotomy, and bracing) in the management of clubfoot under two years of age.Materials and methodsArticles were searched from 2000 to 2015, in the following databases to identify the effectiveness of Ponseti method treatment for clubfoot: Medline, Cumulative Index to Nursing and Allied Health Literature (CINHAL), PubMed, and Scopus. The database searches were limited to articles published in English, and articles were focused on the effectiveness of Ponseti method on children with less than 2 years of age.ResultsOf the outcome of 1095 articles from four electronic databases, twelve articles were included in the review. Pirani scoring system, Dimeglio scoring system, measuring the range of motion and rate of relapses were used as outcome measures.ConclusionsIn conclusion, all reviewed, 12 articles reported that Ponseti method is a very effective method to correct the clubfoot deformities. However, we noticed that relapses occur in nine studies, which is due to the non-adherence of bracing regime and other factors such as low income and social economic status.

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Experience in the Conservative Treatment of Congenital Clubfoot in Newborns and Infants

Cited by 6 publications

References 0 publications

Long-term Results of Treatment of Congenital Idiopathic Clubfoot in 187 Feet

Long-term Results of Treatment of Congenital Idiopathic Clubfoot in 187 Feet

Assessment of Ponseti technique of manipulation and serial casting in idiopathic clubfoot

Ponseti method in the management of clubfoot under 2 years of age: A systematic review

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