The natural history and longitudinal study of the surgically corrected clubfoot

Sobel, Ellen; Giorgini, Renato; Michel, R; Cohen, Sara Ilene

doi:10.1016/s1067-2516(00)80047-2

Cited by 23 publications

(11 citation statements)

References 31 publications

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“…There is no consensus regarding normal calcaneal valgus angles in children, with one study reporting that the average calcaneal valgus angle in normal children aged 6 -16 years was 4° (range, 0 -9°), and that there was no relationship between calcaneal valgus angle and age. 11 The present fi ndings, in children aged 5 -11 years, were similar, in that we observed little or no effect of age on calcaneal valgus angle.…”

Section: Discussionsupporting

confidence: 84%

Clinical or radiologic measurements and 3‐D gait analysis in children with pes planus

Lee

Sung

Yoo

2009

Pediatrics International

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Section: Discussionsupporting

confidence: 84%

Clinical or radiologic measurements and 3‐D gait analysis in children with pes planus

Lee

Sung

Yoo

2009

Pediatrics International

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“…Many different methods are used, most of which involve manipulation and casting. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] For many years in Brazil the method of choice was that described by Kite. 1 This approach required many months of treatment and often resulted in incomplete or defective correction needing extensive corrective surgery.…”

mentioning

confidence: 99%

Correction of neglected idiopathic club foot by the Ponseti method

Lourenço

Morcuende

2007

The Journal of Bone and Joint Surgery. British volume

156

146

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The Ponseti method of treating club foot has been shown to be effective in children up to two years of age. However, it is not known whether it is successful in older children. We retrospectively reviewed 17 children (24 feet) with congenital idiopathic club foot who presented after walking age and had undergone no previous treatment. All were treated by the method described by Ponseti, with minor modifications. The mean age at presentation was 3.9 years (1.2 to 9.0) and the mean follow-up was for 3.1 years (2.1 to 5.6). The mean time of immobilisation in a cast was 3.9 months (1.5 to 6.0). A painless plantigrade foot was obtained in 16 feet without the need for extensive soft-tissue release and/or bony procedures. Four patients (7 feet) had recurrent equinus which required a second tenotomy. Failure was observed in five patients (8 feet) who required a posterior release for full correction of the equinus deformity. We conclude that the Ponseti method is a safe, effective and low-cost treatment for neglected idiopathic club foot presenting after walking age.

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“…To avoid these outcomes, early and even primary surgical treatment of clubfoot is practiced, often with equally disturbing failures and complications. 3,[9][10][11][12][13][14][15][16][17][18][19][20][21] Since the late 1940s we have followed the method of correction developed by the senior author (I.V.P.). 22,23 This method involves weekly stretching of the deformity followed by application of a long-leg cast.…”

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confidence: 99%

Results of an Accelerated Ponseti Protocol for Clubfoot

Morcuende

Abbasi

Dolan

et al. 2005

Journal of Pediatric Orthopaedics

159

142

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The Ponseti method has demonstrated excellent results when performed at weekly intervals, but it is not known whether correction can be accomplished in a shorter amount of time. This study evaluated the success in correction in relation to time between casts (5 or 7 days). The authors retrospectively reviewed 230 patients (319 clubfeet). One hundred sixty-five patients (72%) had undergone previous nonsurgical treatment elsewhere. Patients were assigned to 5 or 7 days based solely on geography. Ninety percent of patients required five or fewer casts for correction, and there was no difference between groups (P = 0.85). Average time from first cast to Achilles tenotomy was 16 days for the 5-day group and 24 days for the 7-day group (P = 0.001). Three patients (1.3%) required corrective surgery and there were 36 relapses (P = 0.4). In conclusion, the Ponseti method is very effective and the deformity can be corrected in a relatively short time.

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The natural history and longitudinal study of the surgically corrected clubfoot

Cited by 23 publications

References 31 publications

Clinical or radiologic measurements and 3‐D gait analysis in children with pes planus

Clinical or radiologic measurements and 3‐D gait analysis in children with pes planus

Correction of neglected idiopathic club foot by the Ponseti method

Results of an Accelerated Ponseti Protocol for Clubfoot

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