Quality of life of clubfoot patients during the brace period of the Ponseti method

Besselaar, A. T.; Melis, Laura; Steen, M. C. van der

doi:10.1016/j.foot.2021.101895

Cited by 2 publications

(2 citation statements)

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“…This should be worn continuously for 3 months, even at night. Then, it should be worn at least 10 to 12 hours per night until the age of 4 to 6 years old 19 . This brace-wearing time instructions were the same for both period I and period II.…”

Section: Methodsmentioning

confidence: 99%

“…Then, it should be worn at least 10 to 12 hours per night until the age of 4 to 6 years old. 19 This brace-wearing time instructions were the same for both period I and period II. The bracing phase is a critical component of the Ponseti method, with noncompliance or failure to wear the brace being reported as one of the most significant factors for treatment failure.…”

Section: Methodsmentioning

confidence: 99%

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The Importance of Having a Single, Dedicated Medical Team to Treat Congenital Talipes Equinovarus Using the Ponseti Method: A Retrospective Analysis of Treatment Outcomes After 3 Years of Follow-up

Tabard-Fougère,

Bonnefoy-Mazure,

Dayer

et al. 2024

Journal of Pediatric Orthopaedics

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Background: Congenital talipes equinovarus (CTEV) is a relatively common pediatric orthopaedic disorder and a frequent cause of disability in adult populations. The Ponseti method has emerged as the generally preferred for treating children with CTEV. Strict adherence to this technique’s basic principles is critical to achieving favorable outcomes. In 2013, our institution decided that every case of pediatric CTEV would be treated by a single dedicated medical team. The present study aimed to compare the treatment outcomes of children with CTEV treated using the Ponseti method in period I (multiple surgeons) versus those in period II (single dedicated team). Patients and Methods: We included respectively the children with CTEV treated using the Ponseti method in Geneva University Hospitals’ pediatric units from 2007 to 2018. Data on patient demographics, clinical characteristics, and the treatment outcomes were collected. The primary outcome was the number of relapsed feet (treatment failure) after 3 years of follow-up. The 2 periods’ outcomes were compared using χ2 and independent Student t-tests. Run charts were used to report yearly rates of complications, minor and major recurrences, treatment failure, brace noncompliance, and feet that underwent tenotomy. Results: A total of 48 feet (32 patients) and 42 feet (29 patients) in periods I and II were included. The periods showed similar rates for participants’ characteristics. The run charts illustrated the overall improvements in treatment outcomes in period II. A total of 8 relapsed feet (5 patients) were reported, all during period I. Conclusions: Since all the pediatric CTEV patients at our institution began to be treated by a single dedicated medical team, we have observed a decrease in all recurrences and complications and an absence of treatment failure. These results highlight the importance of the continuity of care and strict adherence to the Ponseti method. Level of Evidence: Level—III Retrospective comparative study.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The Importance of Having a Single, Dedicated Medical Team to Treat Congenital Talipes Equinovarus Using the Ponseti Method: A Retrospective Analysis of Treatment Outcomes After 3 Years of Follow-up

Tabard-Fougère,

Bonnefoy-Mazure,

Dayer

et al. 2024

Journal of Pediatric Orthopaedics

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Using a Popular Video Platform to Assess Patient Perceptions of Clubfoot Deformity

Al Ramlawi,

Over,

Assayag

et al. 2024

Journal of Pediatric Orthopaedics

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Background: In today’s world, individuals receive much of their medical information from the Internet, including social media platforms such as the increasingly popular TikTok, a video-sharing site. This study’s purpose was to better understand the content popular online regarding clubfoot deformity. Methods: The 50 most viewed, English language videos on TikTok with the tags #clubfootjourney, #talipes, #clubfootcast, #clubfoottreatment, and #clubfoot were identified and independently evaluated by 2 separate reviewers for creator demographics, video type, and prominent themes. Videos were also assessed for medical accuracy and given a score for understandability and actionability based on the Patient Education Materials Assessment Tool (PEMAT). Results: In total, the videos had 87.7 million views, 3.8 million “likes”, and 42.1 thousand comments. Health care professionals created 10% of the videos, and only 1 video was made by an orthopaedic surgeon. Of all the videos, including those created by non-health-care professionals, 82% included medically substantiated and accurate claims. A majority of the videos were primarily educational (70%), with the remainder primarily motivational (30%). Tone varied between positive (74%), and neutral (26%) with no negative tone although most watched videos accounting for 30 million views were primarily motivational. Prominent themes included casting journey (32%), medical education/demonstration (22%), and adults with clubfoot deformity (12%). Ideas such as fear, pain, and discomfort (55%), the importance of family support (25%), and hygiene (20%) were also represented. None of the videos exhibited themes of race in medicine or socioeconomic barriers. All videos were also found to have an average understandability of 74.3% and an average actionability of 36.3%, according to the PEMAT. Conclusions: The substantial number of views and “likes” accumulated by these videos highlights the breadth of content and utilization of social media by the public. This study reveals an opportunity for health care professionals to reach patients with accurate information, identify areas of fear/distrust, and address negative or incorrect perceptions that pervades a variety of interventions with regards to clubfoot deformity management and treatment.

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Quality of life of clubfoot patients during the brace period of the Ponseti method

Cited by 2 publications

References 19 publications

The Importance of Having a Single, Dedicated Medical Team to Treat Congenital Talipes Equinovarus Using the Ponseti Method: A Retrospective Analysis of Treatment Outcomes After 3 Years of Follow-up

The Importance of Having a Single, Dedicated Medical Team to Treat Congenital Talipes Equinovarus Using the Ponseti Method: A Retrospective Analysis of Treatment Outcomes After 3 Years of Follow-up

Using a Popular Video Platform to Assess Patient Perceptions of Clubfoot Deformity

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