The Pirani Scoring System is Effective in Assessing Severity and Monitoring Treatment of Clubfeet in Children

Mejabi, Joseph Olorunsogo; Esan, O; Adegbehingbe, Olayinka O; Orimolade, Elkanah Ayodele; Asuquo, Joseph; Badmus, H; Anipole, A

doi:10.9734/bjmmr/2016/27439

Cited by 15 publications

(18 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vasu et al [24] analysed the prognostic efficacy of both scores and reported a high validity in terms of clinical and prognostic evaluation but not the superiority of a score. Mulker et al [25] and Mejaby [13] confirmed the high prognostic validity of DimS and Pirs, respectively. Several authors [17,19,26] have verified the high reliability of the scores.…”

Section: Discussionmentioning

confidence: 92%

See 1 more Smart Citation

Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot

et al. 2021

View full text Add to dashboard Cite

Background: Dimeglio (DimS) and Pirani (PirS) scores are the most common scores used in congenital talipes equinovarus (CTEV) clinical practice. The aim of this study was to evaluate the interobserver reliability of these scores and how clinical practice can influence the clinical outcome of clubfoot through the DimS and Pirs. Methods: Fifty-four feet were assessed by six trained independent observers through the DimS and PirS: three consultants (OS), and three residents (RS) divided into three pediatric orthopaedic surgeons (PeO) and three non-pediatric orthopaedic surgeons (NPeO). Results: The PirS and DimS Scores were strongly correlated. In the same way, OS and RS, PirS, and DimS scores were strongly correlated, and the interobserver reliability ranked “good” in the comparison between PeO and NPeO. In fully trained paediatric orthopaedic surgeons, an “excellent” interobserver reliability was found but was only “good” in the NPeO cohort. Conclusions: In conclusion, after careful preparation, at least six months of observation of children with CTEV, PirS and DimS proved to be valid in terms of clinical evaluation. However, more experience with CTEV leads to a better clinical evaluation.

show abstract

Section: Discussionmentioning

confidence: 92%

“…At present, the most used evaluation scores are DimS and PirS [11][12][13], and these play a preponderant role in the clubfoot diagnosis and the treatment with the Ponseti.…”

Section: Introductionmentioning

confidence: 99%

Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot

et al. 2021

View full text Add to dashboard Cite

show abstract

“…For a child with clubfoot, the child's Pirani score is documented at diagnosis. The Pirani scoring system is frequently used to categorise and monitor progress of treatment for clubfoot (Mejabi et al, 2016). For children who present with hydrocephalus, the tool prompts the medical team to record the child's head circumference in centimetres.…”

Section: Resultsmentioning

confidence: 99%

Developing an Assessment Tool for Post-Surgical Paediatric Rehabilitative Care in Tanzania: an Interprofessional Approach

Crusan¹,

Biggs²,

Maisano³

et al. 2022

DCID

View full text Add to dashboard Cite

Purpose: Located in Arusha, Tanzania, The Plaster House provides rehabilitative services to children receiving surgical care for treatable disabilities. This article describes a set of outcome measurements developed in a collaborative relationship between an evaluation team from The Plaster House staff and St. Catherine University faculty, focused on effectively and efficiently collecting post-operative evaluation and outcome data from a rehabilitative care facility for children with treatable disabilities. Method:From seven care pathways utilised for surgically treatable disabilities (cleft lip and palate, spina bifida, skeletal fluorosis, osteomyelitis, burns, clubfoot and hydrocephalus), an interactive process led to the development of a medical assessment tool for monitoring and evaluation with limited electronic health record and staffing capacity. Results: The medical assessment tool serves multiple purposes for the rehabilitation programme, including monitoring participants' progress, evaluating the effectiveness of current practices, and sharing data with stakeholders. The tool includes collection of demographic and background information, one to three diagnosis-specific indicators to measure progress, and three questions related to typical development (activities of daily living, play, and social interaction). Conclusion and Implications:Due to the delayed ability to conduct a site visit, the evaluation team relied heavily on effective communication to sufficiently relay challenges and successes in developing and implementing the tool. The proposed medical assessment tool developed by an interprofessional team has

show abstract

“…In Mejabi, et al, male patients is more common than female. 10 While worldwide data showed that the prevalence of clubfoot in male children are twice as compared with in females. 11 The reason of delayed treatment is mostly due to lack of information (58.8%), while according to Penny the obstacles were poverty, lack of awareness, and lack of appropriate medical resources in accessible locations.…”

Section: Discussionmentioning

confidence: 99%

Soft Tissue Release for Neglected Clubfoot : One-year Clinical Outcome

Albar¹

2022

CDK

View full text Add to dashboard Cite

<p>Background. Neglected clubfoot is the most common congenital problem leading to locomotor disability. Eighty percent children with clubfoot deformity are born in developing world and the majority do not have access to appropriate medical care. The severity of clubfoot may be assessed with a variety of methods; i.e Pirani scoring system. This study use Pirani scoring system to evaluate the clinical outcome of neglected clubfoot patients one year after soft tissue release. Method. A study of 17 patients who underwent soft tissue release in Harapan Hospital a year before. We compare Pirani score before and one year after soft tissue release. Other data submitted are age, reason of delayed treatment, term of prosthesis, and complication after surgery. Result. The 17 patients were 10 females and 7 males; the average age was 69,06 ± 49.15 months old. Deformity in left foot was in 13 feet (59.1%) and right foot was in 9 feet (40.9%). The average total Pirani Score before soft tissue release is 5,43 ± 1,03 and one year after soft tissue release is 0,30 ± 0,40. p<0,0001 (p<0,05). This result shows significant improvement one year after soft tissue release. Conclusion. Soft tissue release for neglected clubfoot resulted in significant Pirani score improvement after one year.</p><p>Latar Belakang. Neglected clubfoot merupakan masalah kongenital yang paling sering menyebabkan disabilitas lokomotor. Tingkat keparahan clubfoot dapat ditentukan dengan beberapa metode, antara lain sistem skoring Pirani. Salah satu tatalaksana neglected clubfoot adalah soft tissue release. Studi ini mengevaluasi keluaran klinis pasien neglected clubfoot menggunakan sistem skoring Pirani satu tahun setelah soft tissue release. Metode. Studi pada 17 pasien yang telah menjalani soft tissue release satu tahun yang lalu. Skor Pirani sebelum dan satu tahun setelah soft tissue release dibandingkan. Data lain meliputi usia, alasan terlambatnya tatalaksana, prosthesis yang digunakan, serta komplikasi pasca operasi. Hasil. Rata-rata pasien berusia 69.06 ± 49.15 bulan, 10 perempuan dan 10 laki-laki. Sejumlah 13 deformitas didapatkan pada kaki kiri (59.1%), 9 deformitas pada kaki kanan (40.9%). Rata-rata skor Pirani sebelum soft tissue release adalah 5.43 ± 1.03, sedangkan rata-rata skor Pirani satu tahun setelah soft tissue release adalah 0,30 ± 0,40. Hasil ini menggambarkan peningkatan signifikan skor Pirani (p < 0.0001). Simpulan. Keluaran klinis pasien neglected clubfoot dinilai menggunakan skor Pirani meningkat signifikan satu tahun setelah soft tissue release.</p>

show abstract

The Pirani Scoring System is Effective in Assessing Severity and Monitoring Treatment of Clubfeet in Children

Cited by 15 publications

References 0 publications

Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot

Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot

Developing an Assessment Tool for Post-Surgical Paediatric Rehabilitative Care in Tanzania: an Interprofessional Approach

Soft Tissue Release for Neglected Clubfoot : One-year Clinical Outcome

Contact Info

Product

Resources

About