Results of Surgical Treatment of Talipes Equinovarus Congenita

Lau, JH; Meyer, Leslie C.; Lau, Hoong Chuin

doi:10.1097/00003086-198911000-00035

Cited by 41 publications

(30 citation statements)

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“…In agreement with Yamamoto and Furuyu [25] and Lau et al [11], we found a statistically significant correlation of clinical scoring with AP-TCA. In contrast to this opinion, Laaveg and Ponseti [10], Turco [23], Ono and Hyashi [14], Thompson [22] et al found no correlation between AP-TCA and functional rating.…”

Section: Discussionsupporting

confidence: 92%

“…In agreement with Uglow and Clarke [24] and Lau et al [11], a relationship is hinted at between clinical findings and the lateral talo-first metatarsal angle as an expression of midfoot cavus. But here as well, categorisation of clubfeet according to the severity would seem to make little sense, due to high levels of standard deviation within the individual groups.…”

Section: Discussionsupporting

confidence: 88%

“…In agreement with this, Turco [23], Thompson et al [22], Hassbeek et al [6] and Ono and Hyashi et al [14] also found that the lateral TCA correlated well with the functional rating and is a good indicator of the hind-foot deformity. In contrast Lau et al [11] and Yamamoto and Furuya [25] did not find any significant correlation with lateral TCA. Our study showed a statistically significant correlation with both AP and lateral TCA.…”

Section: Discussionmentioning

confidence: 71%

“…The difference of values among various clinical grades was significant. Lau et al [11] found that the TCI tended to increase with functional grading; however, the difference between the groups was small and no significant correlation could be established.…”

Section: Discussionmentioning

confidence: 96%

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Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release

Prasad

Sen

Gill

et al. 2007

International Orthopaedics (SICO

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The controversy regarding the radiographic parameter which best represents the various deformities of clubfoot continues. The aim of our study was to clear up this controversy. Fifty surgically treated (soft-tissue release) congenital clubfeet were studied clinically using Laaveg and Ponseti score and radiologically using twelve different radiographic parameters in weight-bearing AP and lateral views. The talo-calcaneal angle (TCA) in AP and lateral view showed statistically significant correlation with the functional rating, but significant variation in the dimension of the angles among the different functional groups was found with AP angle only. The talo-first metatarsal angle in AP and lateral view averaged 10°and 19°respectively, and showed significant correlation with the functional rating. The talo-navicular subluxation in AP, the calcaneo-fifth metatarsal angle and the first-fifth metatarsal angle in lateral view did not show any significant correlation with function. Talo-calcaneal index averaged 44°in the clubfeet and showed significant correlation. The wide range of parameters representing each of the deformities gives a better radiological assessment of the clubfoot than any single parameter.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 96%

See 2 more Smart Citations

Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release

Prasad

Sen

Gill

et al. 2007

International Orthopaedics (SICO

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“…However, many complications were encountered with operative treatment such as forefoot adduction (range, 17%-81.1%), cavus (range, 5.9%-45.5%), overcorrection (range, 3.8%-22.2%), hindfoot equinus or varus (range, 7.2%-41.5%), and avascular necrosis of the talus (range, 3.2%-14.3%) [2,25,33]. Consequently, some centers around the world [1,8,12,19,21,22] revived the Ponseti method with deformity correction being maintained short-and long-term.…”

Section: Introductionmentioning

confidence: 99%

The Role of Ultrasound in Clubfoot Treatment: Correlation with the Pirani Score and Assessment of the Ponseti Method

El-Adwar¹,

Kotb²

2010

Clinical Orthopaedics &Amp; Related Research

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Background To evaluate neonates and infants with clubfoot, clinical and imaging modalities are required. Conventional radiography is of limited value because the studied bones are not fully ossified. Questions/purposes We attempted to (1) evaluate clinically and sonographically the reliability of the Ponseti method in correcting clubfeet; and (2) determine whether various ultrasound (US) variables correlated with each other and with the Pirani score before and after treatment. Methods We prospectively followed 17 infants (25 clubfeet) assessed using the Pirani score and US variables (medial malleolus navicular distance, navicular alignment in relation to the talar head, medial soft tissue thickness, talar length, and calcaneocuboid distance) and treated with the Ponseti method. The mean age of the patients at first casting was 30 days, and repeat assessment after treatment was performed at a mean age of 6.3 months. Patients were followed for a minimum of 0.75 months (mean, 14.1 months; range, 0.75-38 months). Results The Ponseti method corrected all feet. We found three clinical/US correlations. Before treatment, we observed a negative correlation between the clinical midfoot score and the sonographic medial malleolus navicular distance. After treatment we observed two negative correlations: one between the midfoot score and the sonographic talar length and the other between the hindfoot score and medial malleolus navicular distance. Four feet had recurrence of varus, two of which had an increased calcaneocuboid distance despite full restoration of navicular alignment in one foot.

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Evaluation of a Disease-specific Instrument for Idiopathic Clubfoot Outcome

Dietz

Tyler

Leary

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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In 2001, Roye et al. developed a disease-specific instrument (DSI) to measure outcomes of treatment for clubfoot. We assessed this instrument using a cohort of 62 patients, ages 5 through 12 years (mean, 8.6 years), with idiopathic clubfoot who were treated as infants by various methods. Treatment groups were defined by whether the patient received joint-invasive surgery (posterior or posteromedial release surgery) or joint-sparing treatment only (manipulation and casting with or without tendo-Achilles lengthening or anterior tibial tendon transfer). The DSI scales demonstrated internal consistency reliability of 0.74 to 0.85 using Cronbach's alpha. Higher (better) DSI scores were associated with ''excellent'' general health ratings and better health-related quality of life; lower DSI score were related to special healthcare needs.

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Results of Surgical Treatment of Talipes Equinovarus Congenita

Cited by 41 publications

References 0 publications

Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release

Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release

The Role of Ultrasound in Clubfoot Treatment: Correlation with the Pirani Score and Assessment of the Ponseti Method

Evaluation of a Disease-specific Instrument for Idiopathic Clubfoot Outcome

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