Idiopathic clubfoot treatment and heterogeneity of current therapeutic strategies: The Ponseti method versus the French functional method (a systematic review)

Taille, E. de La; Gauzy, Jérôme Sales de; Noirot, M. Gaubert

doi:10.1016/j.arcped.2021.04.003

Cited by 5 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Participants with a diagnosis of idiopathic clubfoot were treated with the Ponseti, French functional, or combined methods. The Ponseti method2,13–15 included a sequence of weekly foot manipulations to correct the foot’s cavus, adductus, varus, and equinus, with casting in a maximally corrected position, typically for 6 to 8 weeks. A trained orthopaedic surgeon performed the Ponseti method.…”

Section: Methodsmentioning

confidence: 99%

“…A trained orthopaedic surgeon performed the Ponseti method. The French functional method 2,13,14,16 included daily sequential manipulation, stretching of the foot, and peroneal strengthening exercises followed by taping and splinting of the foot in a maximally corrected position to be worn for 23 hours/day. This routine was generally performed until the child was walking.…”

Section: Treatmentmentioning

confidence: 99%

Symmetry of Shoe Size and Calf Girth in Children With Treated Idiopathic Clubfoot: A Longitudinal Study

Baird

García

Mader

et al. 2022

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: Treatments for idiopathic clubfoot focus on obtaining a functional foot, typical gait pattern, and activity participation. Patients and families are also concerned about practical considerations regarding shoe wear and the appearance of the calf. The purpose of this study was to quantify whether children treated for idiopathic clubfoot have symmetry differences in shoe size and calf girth when presenting with unilateral versus bilateral involvement. Methods: Participants with a diagnosis of idiopathic clubfoot (treated with Ponseti or French functional methods) were prospectively recruited along with children who are typically developing. Shoe size and calf girth were measured at 5, 7, and 10 years of age. Results: Sixty-five participants, 45 with a diagnosis of idiopathic clubfoot (26 unilateral and 19 bilateral) and 20 who were typically developing, began the study at age 5. Children with clubfoot treated with the Ponseti versus French methods showed no differences in shoe size asymmetry, calf girth asymmetry, or absolute calf girth at age 5. Participants with unilateral clubfoot demonstrated an average of 1.5 size smaller shoes for the involved side at all 3 ages. Participants with bilateral clubfeet had a significantly smaller, <0.75 size difference between both feet. Participants with unilateral clubfoot demonstrated about a 2 cm smaller calf girth on the involved side compared with the uninvolved side at all 3 ages. Participants with bilateral clubfeet had a smaller, <0.5 cm calf difference between sides. Calf girths for involved limbs were significantly smaller than for uninvolved limbs. Conclusions: Children with unilateral clubfeet can expect to need a smaller shoe on their involved side. Children with bilateral clubfeet can expect a minimal shoe size discrepancy between limbs. All limbs with clubfoot involvement can expect to have a smaller calf girth than limbs that are typically developing. Level of Evidence: Level II. This is considered a prognostic studyinvestigating the effect of a treated clubfoot on shoe size and calf girth. This is a lesser-quality prospective study in which <80% of persons completed follow-up.

show abstract

“…Casting is performed by a variety of providers, including orthopaedic surgeons, advanced practice providers, and physical therapists (PTs), who specializes in the treatment of children and receive training in the Ponseti method. Multiple studies have been conducted on the Ponseti method and on the treatment of clubfoot by a variety of providers and methods of manipulation and casting, [5][6][7][8] but we found no direct prospective comparison of outcomes and complications of this treatment between orthopaedic surgeons and PTs. This study prospectively compared outcomes of patients with clubfoot treated by these 2 groups of specialists.…”

mentioning

confidence: 87%

Prospective, Randomized Ponseti Treatment for Clubfoot: Orthopaedic Surgeons Versus Physical Therapists

Chen

Ragsdale

Rhodes

et al. 2022

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: Clubfoot is a common congenital foot deformity in children. The Ponseti method of serial casting has become the standard of care in clubfoot treatment. Clubfoot casting is performed in many centers by both orthopaedic surgeons and physical therapists (PTs); however, direct comparison of outcomes and complications of this treatment between these providers is limited. This study prospectively compared the outcomes of patients with clubfoot treated by these 2 groups of specialists. Methods: Between January 2010 and December 2014, all patients under the age of 12 months with a diagnosis of clubfoot were included. Patients were randomized to an orthopaedic surgeon (MD) group or a PT group for weekly serial casting. Main outcome measures included the number of casts required to achieve correction, clinical recurrence of the deformity, and the need for additional surgical intervention. Results: One hundred twenty-six infants were included in the study. Patient demographics and characteristics (sex, race, family history of clubfoot, laterality, and severity of deformity) were similar between treatment groups, with the only significant difference being the mean age of entry into the study (5.2 weeks in the MD group and 9.2 weeks in the PT group, P=0.01). Mean length of follow-up was 2.6 years. The number of casts required trended to a lower number in the MD group. There was no significant difference in the rates of clinical recurrence or additional surgical intervention between groups. Conclusions: Ponseti casting for treatment of clubfoot performed by orthopaedic surgeons and PTs results in equivalent outcomes without any difference in complications. Although the number of casts required trended to a lower number in the MD group, this likely did not result in any clinical significance, as the difference in cast number equaled <1 week’s difference in the overall duration of serial casting. Level of Evidence: Level I—therapeutic.

show abstract

Idiopathic clubfoot treatment and heterogeneity of current therapeutic strategies: The Ponseti method versus the French functional method (a systematic review)

Cited by 5 publications

References 26 publications

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

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

Symmetry of Shoe Size and Calf Girth in Children With Treated Idiopathic Clubfoot: A Longitudinal Study

Prospective, Randomized Ponseti Treatment for Clubfoot: Orthopaedic Surgeons Versus Physical Therapists

Contact Info

Product

Resources

About