Gait kinetics in children with clubfeet treated surgically or with the Ponseti method: A meta-analysis

Tuinsma, A. B.M.; Vanwanseele, Benedicte; Oorschot, L. van; Kars, H. J. J.; Grin, L.; Reijman, Max; Besselaar, A. T.; Steen, M. C. van der

doi:10.1016/j.gaitpost.2018.08.006

Cited by 14 publications

(12 citation statements)

References 42 publications

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“…The general treatment of talipes equinus is correction, performed more than once, with a cast and mold support [18]. The Ponseti method is the gold standard for the treatment of talipes equinus [19][20][21]. The Ponseti method has a more pronounced correction rate in the treatment of talipes equinovarus than the Kite method [22].…”

Section: Introductionmentioning

confidence: 99%

[Retracted] Retrospective Case Analysis of 104 Cases of Talipes Equinus

Tan

Yang

Liu

et al. 2022

Journal of Environmental and Public Health

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A retrospective study of 104 patients (81 male and 23 females, the age range from 2 to 288days) with talipes equinus was conducted to explore the case factors associated with it. We analyzed and discussed the correlation of plaster correction times, age of first visit, gender, and birthplace of patients in the department and understood their correlation and causality. The data were analyzed using frequency analysis, normality test, chi-square goodness-of-fit test, chi-square test, and PLS regression. The findings are set out below. All the distributions of the number of plaster casts in the samples did not have normality. Therefore, we used the nonparametric test and partial least squares regression (PLS regression) and found that the number of plaster casts was more closely related to the age at first visit, gender, and birthplace and had a strong positive correlation. There was a negative correlation between the times of plaster correction and the compliance of braces. The lower the compliance of patients with braces, the more times the plaster correction will be conducted.

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Section: Introductionmentioning

confidence: 99%

[Retracted] Retrospective Case Analysis of 104 Cases of Talipes Equinus

Tan

Yang

Liu

et al. 2022

Journal of Environmental and Public Health

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“…A statistically significant difference in mean of inversioneversion and dorsi-plantar flexion after surgery when compared with controls was shown. In a recent meta-analysis, Tuinsma et al found that kinematics of gait was comparable between clubfeet treated by surgery or the Ponseti method [23]. However, the higher range of ankle dorsiflexion found in our clubfoot patients could be due to the technique of z-lengthening of tendoachilles.…”

Section: Discussionmentioning

confidence: 55%

“…The soft tissue release procedure remains a feasible option for idiopathic clubfoot, although its indication is currently limited [2,3,23]. In this report, we evaluated the surgical results of idiopathic clubfoot patients aged older than five years, the age when a child achieved a fully mature gait [11,20].…”

Section: Discussionmentioning

confidence: 99%

A comparative study of pedobarography and ankle kinematics between children with idiopathic clubfoot after a soft tissue release procedure and controls

Limpaphayom

Tooptakong

Osateerakun

2019

International Orthopaedics (SICOT)

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Purpose Surgery for idiopathic clubfoot, though limited in indications, should be performed by a selective soft tissue release. Aims of the study were to evaluate the pedobarography and ankle kinematics of the clubfoot post-surgery and compare with controls. Methods Twenty-two patients (33 clubfeet) and 22 normal children (44 feet) were enrolled into the cross-sectional study. Demographic data were recorded. Plantar force measurements and ankle kinematic data were obtained and compared between clubfoot patients and controls by pedobarography and 3-dimensional gait analysis. Results Clubfoot patients were operated at an average age of 12.8 ± 8.1 months. The average follow-up was 9.9 ± 3.9 years. Demographic data were comparable between the two groups. The plantar force in clubfoot patients was significantly lower than controls (108.2 ± 86.7 vs. 150.9 ± 73.9 N, p = 0.03). Clubfoot patients demonstrated a longer contact time, larger contact area, lower peak pressure, and force relative to body weight in toe, midfoot, and heel areas. The impulse was comparable between the two groups but the contact area, force, and force time integral concentrated at the midfoot region of the clubfoot. The ankle kinematics in clubfoot patients demonstrated a dorsiflexed position through late toe off. Range of dorsiflexion in the clubfoot was significantly higher than in controls. Foot adduction during stance, limited inversion-eversion, and limited plantar flexion during loading response and toe off were observed. ConclusionThe results underscore the importance of limited soft tissue release during clubfoot surgery. Although the procedure could preserve range of motion at the ankle joint, muscle weakness and flatfoot deformity are prevalent.

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“…The Ponseti method is considered to be the gold standard for clubfoot treatment [1][2][3]. However, relapse and residual gait deviations are common, even after successful initial treatment [3][4][5], and children with clubfoot are recommended to undergo clinical follow-up at least until the age of 7 years [6]. Different measures are used to evaluate clubfoot status [7][8][9][10][11][12][13], but there is a lack of agreement about which measurements are the most appropriate [14].…”

Section: Introductionmentioning

confidence: 99%

The foot drawing method: Reliability of measuring foot length and outward rotation in children with clubfoot.

Manousaki

Andriesse

Hägglund

et al. 2022

Preprint

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Background: The Ponseti method is the gold standard for clubfoot treatment. However, relapse and residual gait deviations are common, and follow-up until 7 years of age is recommended. We evaluated the reliability of the foot drawing method, a new instrument for the follow-up of clubfoot. The method uses drawings of the foot in the neutral position and external rotation to measure foot length and outward rotation.Methods: Nineteen children aged 2.5–7 years who were treated with the Ponseti method for congenital clubfoot were included. Two raters made the drawings twice (D1 and D2). Each rater measured foot length, foot rotation, and foot–tibial rotation independently (D1). Later, the raters repeated the measurements (D2). Interrater reliability was assessed using the D1 from each rater. Intrarater reliability was assessed using the measurements from each rater’s D1 and D2. Bland–Altman plots were used to visualize the limits of agreement (LoA). The mean, 95% confidence interval, and one standard deviation of the differences in all measurements were calculated.Results: The mean differences between and within raters were: foot length <1 mm, foot rotation <1°, and foot–tibia rotation <2°, which indicated no systematic differences. The LoA for foot length were: 4.5 mm and 5.9 mm between raters for D1, –4.8 mm and 5.9 mm for rater 1 (D1–D2), and –5.1 mm and 5 mm for rater 2 (D1–D2). The LoA for foot rotation: were –12° and 10.6° between raters (D1), –8.4° and 6.6° for rater 1 (D1–D2), and –14° and 14.1° for rater 2 (D1–D2). The LoA for foot–tibia rotation were: –17.8° and 14.3° between raters (D1), –12° and 12.2° for rater 1 (D1–D2), and –12.7° and 13.6° for rater 2 (D1– D2).Conclusions: The absence of systematic differences between and within raters, and LoA observed indicate that the foot drawing method is applicable in clinical practice and research. However, the results of the foot and foot–tibia rotation analyses imply that caution is needed when interpreting changes in foot rotation in feet with higher degrees of rotation.

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Gait kinetics in children with clubfeet treated surgically or with the Ponseti method: A meta-analysis

Cited by 14 publications

References 42 publications

[Retracted] Retrospective Case Analysis of 104 Cases of Talipes Equinus

[Retracted] Retrospective Case Analysis of 104 Cases of Talipes Equinus

A comparative study of pedobarography and ankle kinematics between children with idiopathic clubfoot after a soft tissue release procedure and controls

The foot drawing method: Reliability of measuring foot length and outward rotation in children with clubfoot.

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