The Ponseti technique and improved ankle dorsiflexion in children with relapsed clubfoot: a retrospective data analysis

E, Márquez; Pacey, Verity; Chivers, Alison; Gibbons, Paul; Gray, Kelly

doi:10.1097/bpb.0000000000000390

Cited by 6 publications

(7 citation statements)

References 25 publications

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“…Transfer of tibialis anterior tendon to lateral column of the foot improves long-term functions when dynamic forefoot supination observed during gait is evident 34 . The range of ankle dorsiflexion is related to the outcomes thus recurrent ankle equinus needs more aggressive management 35 . If recurrent heel varus combined with ankle dorsiflexion of less than 15º is detected, we prefer repeat casting and pTAL as advocated by Dobbs 33 .…”

Section: Discussionmentioning

confidence: 99%

“…If recurrent heel varus combined with ankle dorsiflexion of less than 15º is detected, we prefer repeat casting and pTAL as advocated by Dobbs 33 . Marquez et al recommended a repeat Ponseti casting followed by a short leg walking cast until the range of ankle dorsiflexion of 20º was attained 35 . A soft tissue release procedure may be inevitable.…”

Section: Discussionmentioning

confidence: 99%

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Factors Related to Early Recurrence of Idiopathic Clubfoot Post the Ponseti Method

Limpaphayom¹,

Sailohit²

2019

Malays Orthop J

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Introduction: Idiopathic clubfoot or congenital talipes equinovarus (CTEV) is managed by the Ponseti method worldwide; however, the recurrence of the deformity is a challenging problem. The purpose was to review the factors associated with early recurrence of CTEV post the Ponseti method.Materials and Methods: During 2011-2016, 34 infants with 52 CTEV, who underwent the Ponseti method and a minimum follow-up period of six months, were reviewed. Twenty-two infants (65%) were male, and 18 infants (53%) had bilateral CTEV. Recurrence of CTEV was defined as a reappearance of at least one of the four components of the deformity. The association between recurrence and factors, including age, gender, bilaterality, family geography, type of principal caregiver, severity at presentation, centre where the Ponseti method was initiated, compliance to foot abduction brace (FAB), practice of stretching exercise, type of FAB, and complications of casting, were evaluated using univariate logistic regression analysis.Results: The median age at initiation of the treatment was 3.4 (IQR; 2.1-12.6) weeks. A median of six (range; 3-12) casts were required. Tenotomy was performed in 32/34 (94%) of cases. Recurrence occurred in 14/52 feet (27%) at an average follow-up period of 2.3±1.1 years. Non-compliance to FAB protocol began at an average age of 11.2±6.5 months, and significantly increased the risk of recurrence during the weaning phase [OR (95%CI)=8.4 (1.2-92.4), p=0.03]. Other factors were not associated with the recurrence.Conclusion: Non-compliance to FAB occurred early during the treatment and related to a risk of recurrence of CTEV. Physicians should encourage the parents and/or guardians to follow the protocol to decrease the risk of recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Related to Early Recurrence of Idiopathic Clubfoot Post the Ponseti Method

Limpaphayom¹,

Sailohit²

2019

Malays Orthop J

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“…De modo análogo as repercussões sobre a qualidade de vida citadas, essa revisão demonstrou que 86,7% dos artigos que compuseram o corpus documental apontaram para a eficácia elevada no tratamento do PTC de crianças mediante Técnica de Ponseti e a melhora significativa nos níveis de qualidade de vida (BHASKAR;PATNI, 2013;AYANA;KLUNGSØYR, 2014;MAHAPATRA;HAMPANNAVAR, 2014;MINDLER et al, 2014;ELGOHARY;ABULSAAD, 2015;HALLAJ-MOGHADDAM et al, 2015;SUGANDHAVESA et al, 2015;YILDIRIM et al, 2015;AGARWAL et al, 2016;CARPIAUX et al, 2016;EL BATTI et al, 2016;GRIMES et al, 2016;HECK;HECK;PLACZEK, 2016;JAQUETO et al, 2016;KHAN;KHANZADA, 2016;SEEGMILLER et al, 2016;LEBEL et al, 2017;MARQUEZ et al, 2017;MATAR et al, 2017;SHAH et al, 2017;SMYTHE et al, 2017;AGARWAL et al, 2018;DREW;GOOBERMAN-HILL;LAVY, 2018;JOCHYMEK;TUREK, 2018;MEHTANI et al, 2018). É importante destacar que a maior parte dos estudos apresentou nível de evidência I e II, os quais são os melhores e mais confiáveis.…”

Section: Discussionunclassified

“…Além dos benefícios sobre os aspectos físicos, foi possível verificar que os pacientes que se submetem a Técnica de Ponseti apresentaram resposta positiva ao tratamento, com melhoras significativas nas relações socioculturais (CARPIAUX et al, 2016;MARQUEZ et al, 2017;JOCHYMEK;TUREK, 2018).…”

Section: Discussionunclassified

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Cunha¹,

Souza

Sousa

et al. 2019

R. bras. Qual. Vida

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OBJETIVO: Analisar a contribuição da técnica de Ponseti para a qualidade de vida de crianças portadoras do pé torto congênito.MÉTODOS: A elaboração do trabalho foi realizada através de uma revisão sistemática da literatura, utilizando-se como descritores em Ciência da Saúde (DeCS) (português): pé torto congênito, qualidade de vida, técnica de Ponseti; e os medical subject headings (MeSH) (inglês): congenital biceps foot, quality of life e Ponseti technique. Foram selecionados artigos nas bases de dados: Public Medicine (Pubmed), Scientific Electronic Library Online (SciELO), Medical Literature Analysis and Retrievel System Online (MEDLINE) e Biblioteca Virtual de Saúde (BVS). Os artigos selecionados foram analisados quanto ao título, ao ano, à formação e ao tema principal. A pesquisa compreendeu artigos publicados entre 2013 e abril de 2018. Foram identificados 110 artigos, dos quais foram selecionados 30 artigos que se encaixaram nos critérios de inclusão.RESULTADOS: A partir dos estudos analisados, observou-se que 83,3% destes apontaram eficácia elevada no tratamento do pé torto congênito de crianças por meio da técnica de Ponseti associada a uma melhora na qualidade de vida.CONCLUSÕES: A técnica de Ponseti é altamente eficaz para correção da deformidade e propicia melhoria da qualidade de vida das crianças que são portadoras da patologia.

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“…Club foot or Congenital Talipes Equinovarus (CTEV) is a complex foot deformity which consists of adducted forefoot, cavus midfoot and equinovarus hindfoot 1,2,3 , which is usually bilateral and is more common in male newborns 1 . It is most common congenital foot deformity and this condition affects 1 and 7 births in every 1000 individuals worldwide 4 .…”

Section: Introductionmentioning

confidence: 99%

Ponseti Technique in Neglected Club Foot Children with Age between 3 and 11 Years

Jamil¹,

Siddiqui²,

Khan³

et al. 2019

J Liaquat Uni Med Health Sci

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OBJECTIVE: To evaluate the Ponseti treatment in neglected club foot patients. Result of this study shall help us to manage untreated or neglected patients with club foot in better way and this study shall provide platform for bigger studies on clubfoot in Pakistan. METHODOLOGY: This multicentre observational cross sectional study was conducted on retrospective data of patients registered to Ponseti Club foot Clinic between July 2013 to Dec 2016 at Dr Ruth Pfau Civil Hospital Karachi and Jinnah postgraduate Medical Center, Karachi. In this study 41 feet in 28 patients with Neglected club foot between 3 to 11 years were treated by Ponseti guidelines for older child (already walking child). Deformity was assessed with pirani scoring. Average follow up time was 3 years. RESULTS: Painless plantigrate foot was obtained in all patients. In 3 patients equinus deformity recurred. Two were managed with recasting while in the third one along with recasting and retenotomy was undertaken. In 2 patients mild varus was recurred, which was managed with recasting. One patient was lost to follow-up after 2 years. CONCLUSION: This study conclude that treatment of neglected idiopathic club foot patients presenting to us after walking age with Ponseti method according to Ponseti guidelines for older children is safe, effective and low cost method. It also reduces the risk of excessive surgical procedures.

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The Ponseti technique and improved ankle dorsiflexion in children with relapsed clubfoot: a retrospective data analysis

Cited by 6 publications

References 25 publications

Factors Related to Early Recurrence of Idiopathic Clubfoot Post the Ponseti Method

Factors Related to Early Recurrence of Idiopathic Clubfoot Post the Ponseti Method

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Ponseti Technique in Neglected Club Foot Children with Age between 3 and 11 Years

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