Treatment of complex idiopathic clubfoot using the modified Ponseti method: up to 11 years follow-up

Matar, Hosam E; Beirne, Peter; Bruce, Colin; Garg, Neeraj

doi:10.1097/bpb.0000000000000321

Cited by 34 publications

(49 citation statements)

References 13 publications

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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

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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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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“…Congenital talipes equinovarus (clubfoot) has an incidence of 1-2 per 1,000 live births and is among the most frequently treated orthopaedic diseases [1]. Until the late 1990s, treating this disease was difficult.…”

Section: Introductionmentioning

confidence: 99%

“…There is severe flexion of all metatarsals, causing severe cavus. The first toe is hyperextended, and there is a deep crease on the plantar surface of the foot [1,5,8,9] (Figs. 1, 2).…”

Section: Introductionmentioning

confidence: 99%

“…This subgroup of patients have 'complex' clubfoot, and the Ponseti method is insufficient to resolve the condition. In fact, applying the Ponseti method to treat this subgroup of patients can produce additional deformities [1,5].…”

Section: Introductionmentioning

confidence: 99%

“…Ponseti et al described this subgroup of patients, together with the modified Ponseti method, in 2006 [5]. There are few publications about complex clubfoot [1,5,8,9]. Sometimes it may be difficult to diagnose the condition, and many orthopaedic clinicians do not know how to implement the modified treatment.…”

Section: Introductionmentioning

confidence: 99%

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Using the modified Ponseti method to treat complex clubfoot: early results

Bozkurt

Sipahioğlu

Sarıkaya

et al. 2020

Preprint

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Objectives In complex clubfoot, equinus, varus of the heel, forefoot adduction, and supination are more severe than in typical clubfoot. The feet are short and stubby, with deep creases above the heel and on the plantar surface. To successfully treat this subgroup of patients, orthopaedic clinicians must be able to recognise the clinical characteristics of complex clubfoot and implement the appropriate treatment effectively.Methods A total of 11 patients with 16 clubfeet were included in this study. Demographic features, clubfoot severity, number of casts, position of each foot before cast removal, ankle dorsiflexion (DF), complications, and additional procedures were noted at all clinical visits.Results The mean follow-up period was 13.3 months. All patients were initially corrected using a mean of 7 (5–8) casts and Achilles tenotomy. Relapses occurred in three patients (18.75%), but all recovered after recasting. The creases above the heels disappeared in all of the patients, whereas plantar creases persisted on two (12.5%) feet. The mean Pirani scores calculated at the first visit, after tenotomy, and at the final visit were 5.22± 0.52,, 0.72 ± 0.41and 0.41 ± 0.42, respectively. The mean DF measurements recorded before tenotomy, after tenotomy, and at the final visit were 8.31° ± 3.03°, 15.19° ± 3.75 °, and 20.19° ± 4.46°, respectively. Pirani scores and DF improved statistically significantly after treatment, and DF improved significantly between tenotomy and the final visit.Conclusions The modified Ponseti method is an effective treatment for complex clubfoot. It is crucial that orthopaedic clinicians can recognise this deformity at any stage and implement the modified Ponseti method effectively.

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