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Early results of treatment for congenital clubfoot using the Ponseti method.

Matuszewski L, Gil L, Karski J - Eur J Orthop Surg Traumatol (2011)

Bottom Line: The purpose of this study was to evaluate the early results of the Ponseti method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot in patients treated in Children's Orthopaedic Clinic and Rehabilitation Department Medical University of Lublin between the years 2007-2011.Clubfoot severity was graded with use of the Dimeglio system.The initial correction was achieved, and early results were measured by using Pirani scoring method.

View Article: PubMed Central - PubMed

Affiliation: Children's Orthopaedic Clinic and Rehabilitation Department, Medical University of Lublin, Lublin, Poland.

ABSTRACT
The purpose of this study was to evaluate the early results of the Ponseti method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot in patients treated in Children's Orthopaedic Clinic and Rehabilitation Department Medical University of Lublin between the years 2007-2011. Thirty-five patients with 47 idiopathic clubfeet were followed prospectively while being managed with the Ponseti method. Clubfoot severity was graded with use of the Dimeglio system. The initial correction was achieved, and early results were measured by using Pirani scoring method.

No MeSH data available.


Related in: MedlinePlus

TIBAX and CLUBAX orthosis
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Fig1: TIBAX and CLUBAX orthosis

Mentions: When the correction of adduction and supination of the calcaneum bone was completed, the tenotomy of Achilles tendon was performed. This minor surgical procedure, conducted under a light sedation, was applied to 34 children out of the total number of 35 treated children. For one child, excellent results were achieved after redresions followed by bracing so that no surgery was required. The remaining patients underwent the tenotomy followed by a 3-week-long holding cast period that allowed the tendon to regenerate longer. In 85% of treated feet, we achieved sufficient correction in sagittal plane and ability of passive dorsal flexion (Table 3). For the final correction in all treated cases, we used TIBAX or CLUBAX device, which is a simple instrument to perform corrections in all three planes. Such orthosis helped to preserve the good results after surgery (Fig. 1). We observed a decrease in dorsal flexion only in four cases. However, those four children did not use that device strictly according to our recommendation.Table 3


Early results of treatment for congenital clubfoot using the Ponseti method.

Matuszewski L, Gil L, Karski J - Eur J Orthop Surg Traumatol (2011)

TIBAX and CLUBAX orthosis
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3376778&req=5

Fig1: TIBAX and CLUBAX orthosis
Mentions: When the correction of adduction and supination of the calcaneum bone was completed, the tenotomy of Achilles tendon was performed. This minor surgical procedure, conducted under a light sedation, was applied to 34 children out of the total number of 35 treated children. For one child, excellent results were achieved after redresions followed by bracing so that no surgery was required. The remaining patients underwent the tenotomy followed by a 3-week-long holding cast period that allowed the tendon to regenerate longer. In 85% of treated feet, we achieved sufficient correction in sagittal plane and ability of passive dorsal flexion (Table 3). For the final correction in all treated cases, we used TIBAX or CLUBAX device, which is a simple instrument to perform corrections in all three planes. Such orthosis helped to preserve the good results after surgery (Fig. 1). We observed a decrease in dorsal flexion only in four cases. However, those four children did not use that device strictly according to our recommendation.Table 3

Bottom Line: The purpose of this study was to evaluate the early results of the Ponseti method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot in patients treated in Children's Orthopaedic Clinic and Rehabilitation Department Medical University of Lublin between the years 2007-2011.Clubfoot severity was graded with use of the Dimeglio system.The initial correction was achieved, and early results were measured by using Pirani scoring method.

View Article: PubMed Central - PubMed

Affiliation: Children's Orthopaedic Clinic and Rehabilitation Department, Medical University of Lublin, Lublin, Poland.

ABSTRACT
The purpose of this study was to evaluate the early results of the Ponseti method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot in patients treated in Children's Orthopaedic Clinic and Rehabilitation Department Medical University of Lublin between the years 2007-2011. Thirty-five patients with 47 idiopathic clubfeet were followed prospectively while being managed with the Ponseti method. Clubfoot severity was graded with use of the Dimeglio system. The initial correction was achieved, and early results were measured by using Pirani scoring method.

No MeSH data available.


Related in: MedlinePlus