Foot Focus: International Initiative to Eradicate Clubfeet Using the Ponseti Method

Saltzman, Hanna M.

doi:10.3113/fai.2009.0468

Cited by 9 publications

(14 citation statements)

References 5 publications

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“…Despite widespread worldwide use of the Ponseti method through targeted national programs [28,36,38,40,42], patients with neglected clubfeet still present for evaluation because of limited access to treatment facilities and lack of awareness that treatment options are available [19,28,37]. In many low-income countries, patients with congenital clubfeet present to the physician late, when parents become concerned about their children starting to walk on the deformed feet.…”

Section: Discussionmentioning

confidence: 99%

Can Selective Soft Tissue Release and Cuboid Osteotomy Correct Neglected Clubfoot?

Faldini¹,

Traina²,

Martino³

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Neglected clubfoot in older children is characterized by a stiff, nonreducible deformity with relative elongation of the lateral column of the foot with respect to the medial column. Surgical correction often has involved a double osteotomy with elongation of the medial column and shortening of the lateral column, or the use of an external fixator to achieve more gradual correction. Both approaches have shortcomings. Questions/purposes We therefore (1) used objective physical examination measurements and a functional assessment to evaluate the effectiveness of cuboid osteotomy combined with a selective soft tissue release to achieve correction of neglected clubfoot in older children, (2) determined the rate of complications, and (3) ascertained whether the initial correction achieved was maintained. Methods We reviewed 31 patients (56 feet) older than 5 years with severe, neglected nonreducible clubfoot deformity who underwent the index procedure. Minimum followup was 2 years (average, 6 years; range, 2-9 years). Postoperatively, the Laaveg and Ponseti classification and Dimeglio score were used to grade correction. Complication rates were tallied. Results According to the Laaveg and Ponseti classification, 24 feet showed excellent correction, 20 good, nine fair, and three poor at 1-year followup. These results were maintained up to the latest followup. Patients showed significant improvement of Dimeglio score after surgery (p \ 0.0001). Two patients had postoperative skin-related complications that healed without additional surgery.

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Section: Discussionmentioning

confidence: 99%

Can Selective Soft Tissue Release and Cuboid Osteotomy Correct Neglected Clubfoot?

Faldini¹,

Traina²,

Martino³

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…Clubfoot (talipes equinovarus) is a congenital deformity affecting more than 200 000 children per year worldwide, with approximately 1 in 1000 live births being affected. 1–3 Abnormal development of the tendons, muscles, and bones of the foot result in a downward (equinus) and inward pointing (varus) foot or feet at birth. Left untreated, children with clubfoot walk on the tops or sides of their feet, resulting in callous formation, potential skin and bone infections, and severe limitations in mobility, known as “neglected clubfoot.” 2 Neglected clubfoot causes lifelong disability, social isolation, and socioeconomic burden.…”

Section: Introductionmentioning

confidence: 99%

“…In total, 80% of clubfoot cases occur in low- and middle-income countries (LMIC), most of which do not receive treatment and therefore develop into neglected clubfoot. 1,3,6 Lack of clinical knowledge of the Ponseti method presents as a major barrier to clubfoot treatment in LMIC. 7–10 In many LMIC, there is no specific protocol for integration of clubfoot treatment into the medical education or health services systems.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an E-Learning Course for Clubfoot Treatment in Tanzania: A Multicenter Study

Vaca

Warstadt

Ngayomela

et al. 2018

Journal of Medical Education and Curricular Development

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In total, 80% of clubfoot cases occur in low- and middle-income countries, where lack of clinical knowledge of the Ponseti method of treatment presents as a major barrier to treatment. This study aims to determine the effectiveness of an electronic learning course to teach clinicians in Tanzania Ponseti method theory. A total of 30 clinicians were recruited from clinics with high referral rates for clubfoot patients and invited to 1 of 3 training sites: Mbeya (n = 15), Zanzibar (n = 10), and Mwanza (n = 5). Baseline knowledge, measured through a pretest, was compared to performance on a posttest after e-learning course completion. Scores for Mbeya and Zanzibar participants improved from 44 ± 12.5 to 69.8 ± 16.5 (P < .0001) and 44.3 ± 14.0 to 67.9 ± 21.4 (P = .01), respectively. Our results suggest that an e-learning course may be an effective method of disseminating Ponseti method theory in Tanzania. Successful implementation requires an understanding of the device availability and technology literacy of the users.

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“…The paper could analyze a global health issue, or be a short story that integrated material the student had learned into the life of a fictional character or community. Scientific papers included analyses of the prevention of maternal to child transmission of human immunodeficiency virus, economic initiatives to improve health in a slum of Lagos, Nigeria, management of club foot in low-income countries, 11 the influence of the Maoist insurgency on child health indicators in Nepal, 12 and the sex worker Sonagachi Project in India. Creative stories were about rape and human immunodeficiency virus infection in Zimbabwe, the thoughts of a community health worker in Ethiopia as the country transitioned from malaria eradication to smallpox eradication, and the challenges faced by a young man returning to his home in the Democratic Republic of the Congo.…”

Section: Teaching Global Healthmentioning

confidence: 99%

Teaching Global Public Health in the Undergraduate Liberal Arts: A Survey of 50 Colleges

Hill

Ainsworth²,

Partap³

2012

The American Society of Tropical Medicine and Hygiene

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Abstract. Undergraduate public health and global health studies are usually found at universities with graduate programs in the disciplines. Following the experience of teaching a short course in global health within the liberal arts, we reviewed global and public health offerings at 50 liberal arts colleges for the 2009-2010 academic year. Fortytwo percent had a track, concentration, or program, and 30% had global or public health student organizations. All colleges listed at least one course in the fields, with the highest number in the social sciences. However, many colleges had not coordinated them into a theme. Values of a liberal arts education are found in the study of global and public health: social responsibility, critical thinking, ethical reasoning, and knowledge of the wider world. We propose identifying these programs within the undergraduate liberal arts as global public health. Capturing interest in global public health will enhance the curriculum and student experience.

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Foot Focus: International Initiative to Eradicate Clubfeet Using the Ponseti Method

Cited by 9 publications

References 5 publications

Can Selective Soft Tissue Release and Cuboid Osteotomy Correct Neglected Clubfoot?

Can Selective Soft Tissue Release and Cuboid Osteotomy Correct Neglected Clubfoot?

Evaluation of an E-Learning Course for Clubfoot Treatment in Tanzania: A Multicenter Study

Teaching Global Public Health in the Undergraduate Liberal Arts: A Survey of 50 Colleges

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