Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising?
Between 2007 and 2010, a prospective study was done on 85 patients with severe idiopathic nonsyndromic clubfeet, in our center. Demographic features, severity of the deformity before and after serial casting according to Diméglio classification, and complications were assessed. The mean age of the...
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| Language: | English |
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Wiley
2015-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/821690 |
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| author | Mohammad Hallaj-Moghaddam Ali Moradi Mohammad Hosein Ebrahimzadeh Seyed Reza Habibzadeh Shojaie |
| author_facet | Mohammad Hallaj-Moghaddam Ali Moradi Mohammad Hosein Ebrahimzadeh Seyed Reza Habibzadeh Shojaie |
| author_sort | Mohammad Hallaj-Moghaddam |
| collection | DOAJ |
| description | Between 2007 and 2010, a prospective study was done on 85 patients with severe idiopathic nonsyndromic clubfeet, in our center. Demographic features, severity of the deformity before and after serial casting according to Diméglio classification, and complications were assessed. The mean age of the patients was 8 days and 69% were male. The mean follow-up period was 26 months. The average number of castings used to correct the deformity was 5.7 times (range: 4 to 8). Tenotomy was performed in 76 (89.4%) of the feet. In all patients, plantigrade foot was achieved. Tenotomy occurred more in patients with higher Diméglio scores. Although patients who underwent Achilles tenotomy began to walk later than those who did not (13±7.2 versus 9.2±18), it was not significant (P=0.06). Relapse rate, at the end of follow-up, was 27.1%. Diméglio score before casting was 16±3.4 and at the end of follow-up it was 1.6±6.2. The patients with bilateral clubfeet had inferior final outcome compared to those with unilateral clubfoot. Eighty percent of parents’ were completely satisfied with their child's gait and foot appearance (94.1%). Ponseti method of manipulation and casting is a valuable technique in severe club foot as well as in common types. |
| format | Article |
| id | doaj-art-c2e63d58b0b04e7aa2035cfa049d6eea |
| institution | DOAJ |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
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| series | Advances in Orthopedics |
| spelling | doaj-art-c2e63d58b0b04e7aa2035cfa049d6eea2025-08-20T03:23:15ZengWileyAdvances in Orthopedics2090-34642090-34722015-01-01201510.1155/2015/821690821690Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising?Mohammad Hallaj-Moghaddam0Ali Moradi1Mohammad Hosein Ebrahimzadeh2Seyed Reza Habibzadeh Shojaie3Orthopedic Research Center, Mashhad University of Medical Science, Mashhad 91766-99199, IranOrthopedic Research Center, Mashhad University of Medical Science, Mashhad 91766-99199, IranOrthopedic Research Center, Mashhad University of Medical Science, Mashhad 91766-99199, IranFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranBetween 2007 and 2010, a prospective study was done on 85 patients with severe idiopathic nonsyndromic clubfeet, in our center. Demographic features, severity of the deformity before and after serial casting according to Diméglio classification, and complications were assessed. The mean age of the patients was 8 days and 69% were male. The mean follow-up period was 26 months. The average number of castings used to correct the deformity was 5.7 times (range: 4 to 8). Tenotomy was performed in 76 (89.4%) of the feet. In all patients, plantigrade foot was achieved. Tenotomy occurred more in patients with higher Diméglio scores. Although patients who underwent Achilles tenotomy began to walk later than those who did not (13±7.2 versus 9.2±18), it was not significant (P=0.06). Relapse rate, at the end of follow-up, was 27.1%. Diméglio score before casting was 16±3.4 and at the end of follow-up it was 1.6±6.2. The patients with bilateral clubfeet had inferior final outcome compared to those with unilateral clubfoot. Eighty percent of parents’ were completely satisfied with their child's gait and foot appearance (94.1%). Ponseti method of manipulation and casting is a valuable technique in severe club foot as well as in common types.http://dx.doi.org/10.1155/2015/821690 |
| spellingShingle | Mohammad Hallaj-Moghaddam Ali Moradi Mohammad Hosein Ebrahimzadeh Seyed Reza Habibzadeh Shojaie Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising? Advances in Orthopedics |
| title | Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising? |
| title_full | Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising? |
| title_fullStr | Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising? |
| title_full_unstemmed | Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising? |
| title_short | Ponseti Casting for Severe Club Foot Deformity: Are Clinical Outcomes Promising? |
| title_sort | ponseti casting for severe club foot deformity are clinical outcomes promising |
| url | http://dx.doi.org/10.1155/2015/821690 |
| work_keys_str_mv | AT mohammadhallajmoghaddam ponseticastingforsevereclubfootdeformityareclinicaloutcomespromising AT alimoradi ponseticastingforsevereclubfootdeformityareclinicaloutcomespromising AT mohammadhoseinebrahimzadeh ponseticastingforsevereclubfootdeformityareclinicaloutcomespromising AT seyedrezahabibzadehshojaie ponseticastingforsevereclubfootdeformityareclinicaloutcomespromising |