Is the Denis Browne Splint a Myth? A Long-Term Prospective Cohort Study in Clubfoot Management using Denis Browne Splint Versus Daily Exercise Protocol

Sheta, Reda Ali; El-Sayed, Mohamed

doi:10.1053/j.jfas.2019.08.026

Cited by 7 publications

(18 citation statements)

References 44 publications

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“…This is in line with the current literature; the range is between 80% and 92%. 9 , 13 , 20 , 26 , 29 , 30 , 31 However, our cut-off (Pirani score < 2.5) for tenotomy was lower than the ones suggested by other authors such as Scher et al 26 (Pirani score ≥ 5.0), Goriainov et al 20 (Pirani score ≥ 4.0) and Aydin et al 29 (Pirani score > 5.0 points).…”

Section: Discussioncontrasting

confidence: 70%

“…Non- or poor compliance with the Ponseti brace protocol was identified as the leading cause of relapse, and it directly affects the success of treatment. 4 , 5 , 7 , 9 , 25 , 26 , 28 , 33 Other factors, such as the low educational level of parents and low annual family income, were associated with poor compliance with bracing and recurrences. 14 , 19 , 32 , 33 , 36 , 39 Some parents wrongly think that once the feet are corrected, it can never recur.…”

Section: Discussionmentioning

confidence: 99%

“…Some parents refuse to use the brace once they get the foot corrected. 9 , 15 , 19 Besides, there is no consensus on the minimal number of hours of use of the FAB per day to prevent recurrence. 9 , 27 , 30 , 31 , 34 …”

Section: Discussionmentioning

confidence: 99%

“…A total of 1320 clubfeet in 1018 children (code Q66.0, International Classification of Diseases, World Health Organization) were identified. 9 , 11 In total, 55 feet in 45 children were excluded because they did not meet our inclusion criteria or due to the incomplete follow-up data. A total of 1265 feet in 973 children were included in our study and completed the final follow-up ( supplementary material ).…”

Section: Methodsmentioning

confidence: 99%

“…After that, for a minimum of ten hours at night time up to the age of four; 2) group B (modified Ponseti group): the parents were instructed for a home-based exercise programme up to the age of four years without using any braces. The exercise programme consisted of dorsiflexion and foot abduction maneuvers, 50 times for each maneuver to be repeated five times a day during the first two years of life and then three times a day up to the age of four 9 ( Fig. 1 and supplementary material ).…”

Section: Methodsmentioning

confidence: 99%

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A modification of the Ponseti method for clubfoot management: A prospective comparative study

Sheta¹,

El-Sayed

Abdel-Ghani

et al. 2021

Journal of Children's Orthopaedics

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Purpose We aimed to compare our parent-based exercise programem’s efficacy with the foot abduction brace (FAB) Ponseti manipulation as a retention programme. Methods We conducted this prospective multicentre cohort study between August 2009 and November 2019. The included children were allocated into one of two groups according to the retention protocol. The Pirani and Laaveg-Ponseti scores were used to assess the feet clinically and functionally. Radiological assessment was performed using standing anteroposterior and lateral radiographs of the feet. We assessed the parents’ satisfaction and adherence to the retention method. SPSS version 25 was used for the statistical analysis. Results A total of 1265 feet in 973 children were included. Group A included 637 feet managed with FAB, while group B included 628 feet managed with our retention programme. All patients were followed up to the age of four years. At the final follow-up, Pirani scores in group A participants were excellent, good and poor in 515, 90, and 32 feet, respectivel, while in group B the scores were excellent, good and poor in 471, 110 and 44 feet, respectively. The mean total score of Laaveg-Ponseti was 87.81 (sd 19.82) in group A and 90.55 (sd 20.71) in group B (p = 0.02). Group B participants showed higher satisfaction with the treatment method (p = 0.011) and more adherence to the treatment (p = 0.013). Conclusion The deformity’s recurrence related to the brace’s non-compliance in the Ponseti method might be reduced by substituting the brace with our home-based daily stretching exercises. Level of Evidence II

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Section: Discussioncontrasting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

A modification of the Ponseti method for clubfoot management: A prospective comparative study

Sheta¹,

El-Sayed

Abdel-Ghani

et al. 2021

Journal of Children's Orthopaedics

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Pé torto congênito: Dificuldades na manutenção do uso da órtese de Dennis-Brown pelos cuidadores

Sassi,

Nazario,

Bardelli

et al. 2024

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Identificar as principais dificuldades apresentadas pela família durante o uso da órtese de Dennis-Brown. Método Esse estudo foi realizado com os responsáveis por pacientes tratados no período de 2015–2018, os quais responderam a um formulário com perguntas sobre a criança por google forms quanto às dificuldades no uso da órtese. Resultado Com as respostas obtidas, identificamos que as dificuldades com a órtese independem do sexo, idade ou lado afetado na criança. Foi possível identificar que 41,7% dos pacientes que fizeram o uso da órtese apresentaram algum tipo de dificuldade, sendo a principal dificuldade a irritação da criança (93,3%). Conclusão Sabendo que o principal fator de recidivas do PTC é a má aderência ao uso das órteses, o estudo de fatores que causam ou aumentam a probabilidade da interrupção do seu uso se torna um importante aliado para a criação de estratégias para facilitar o uso da órtese, assim possivelmente diminuindo a recidiva da doença.

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[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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Is the Denis Browne Splint a Myth? A Long-Term Prospective Cohort Study in Clubfoot Management using Denis Browne Splint Versus Daily Exercise Protocol

Cited by 7 publications

References 44 publications

A modification of the Ponseti method for clubfoot management: A prospective comparative study

A modification of the Ponseti method for clubfoot management: A prospective comparative study

Pé torto congênito: Dificuldades na manutenção do uso da órtese de Dennis-Brown pelos cuidadores

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

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