Ultrasonographic evaluation of clubfoot and it's correction by Ponseti method: a review

Chawla, S.K.; Gupta, Mallika

doi:10.5455/2349-3291.ijcp20150501

Cited by 2 publications

(1 citation statement)

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“…In this method, Achilles tenotomy is used to release the equinus deformity and bracing for maintaining the corrected clubfoot [ 19 , 20 ], and it helps to obtain the plantigrade, functional, pain-free foot [ 21 ]. Although orthopedic surgeons agreed that initial treatment for clubfoot should be a conservative method to correct the clubfoot successfully [ 17 , 22 – 27 ], the relapses, partial correction of clubfoot- rocker bottom foot is still not avoidable [ 28 , 29 ]. Based on the literature search, in the past five decades, a number of studies have reviewed and published which include the history of development of conservative method and its management in the clubfoot [ 30 , 31 ], controversies in the clubfoot management [ 32 ], current updates of clubfoot treatment and effectiveness of Ponseti method [ 1 , 33 , 34 ], different types of conservative methods (Ponseti techniques, Kite’s method, and French physical therapy method) and results of Ponseti methods [ 35 ], using sonography for the evaluation of clubfoot treatment outcome [ 36 ].…”

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confidence: 99%

Ponseti method in the management of clubfoot under 2 years of age: A systematic review

et al. 2017

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BackgroundCongenital talipes equinovarus (CTEV), also known as clubfoot, is common congenital orthopedic foot deformity in children characterized by four components of foot deformities: hindfoot equinus, hindfoot varus, midfoot cavus, and forefoot adduction. Although a number of conservative and surgical methods have been proposed to correct the clubfoot deformity, the relapses of the clubfoot are not uncommon. Several previous literatures discussed about the technical details of Ponseti method, adherence of Ponseti protocol among walking age or older children. However there is a necessity to investigate the relapse pattern, compliance of bracing, number of casts used in treatment and the percentages of surgical referral under two years of age for clear understanding and better practice to achieve successful outcome without or reduce relapse. Therefore this study aims to review the current evidence of Ponseti method (manipulation, casting, percutaneous Achilles tenotomy, and bracing) in the management of clubfoot under two years of age.Materials and methodsArticles were searched from 2000 to 2015, in the following databases to identify the effectiveness of Ponseti method treatment for clubfoot: Medline, Cumulative Index to Nursing and Allied Health Literature (CINHAL), PubMed, and Scopus. The database searches were limited to articles published in English, and articles were focused on the effectiveness of Ponseti method on children with less than 2 years of age.ResultsOf the outcome of 1095 articles from four electronic databases, twelve articles were included in the review. Pirani scoring system, Dimeglio scoring system, measuring the range of motion and rate of relapses were used as outcome measures.ConclusionsIn conclusion, all reviewed, 12 articles reported that Ponseti method is a very effective method to correct the clubfoot deformities. However, we noticed that relapses occur in nine studies, which is due to the non-adherence of bracing regime and other factors such as low income and social economic status.

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