Congenital Foot Deformity

2018 ◽  
pp. 826-831
2020 ◽  
pp. 41-44
Author(s):  
I.V. Krestyashin ◽  
A.Yu. Razumovsky ◽  
V.M. Krestyashin ◽  
I.I. Kuzhelivsky

2020 ◽  
Vol 77 ◽  
pp. 05002
Author(s):  
Eugenia Muñoz Garza ◽  
Héctor Gerardo Carvajal Cortés ◽  
Braulio Domínguez Godoy ◽  
Hiram Alejandro Cantú Campos

An assistive technology (AT) is any item, equipment or product used to increase, maintain or improve the functional capabilities of people with disabilities. The aim of this study was to design and develop two ATs in order to assist the needs of a male student from Universidad de Monterrey experiencing gait dysfunction and pain due to a congenital foot deformity preventing him from normal performance. These ATs included personalized orthopedic insoles to improve the participant’s posture and stability as well as two ankle-foot orthosis (AFO) to reduce the pain he presented. In order to design the orthopedic insoles, it was necessary to scan the participant’s feet; this was achieved using the photogrammetry technique. For the design of the AFOs, anthropometric measurements of the lower limbs were taken in order to modify a predefined 3D human model and obtain a digital model of the lower limbs. Both devices were manufactured using 3D printing technology. In order to analyze the participant’s progress and validate the effectiveness of the ATs, we developed a methodology for movement analysis based on the marker-less motion capture system Kinect 2. Data obtained was imported into Matlab in order to calculate lower limb joint angles and compare gait before and after using the ATs. Significant improvement was seen in the participant’s gait after two weeks of using the ATs. Moreover, we were able to demonstrate that the use of orthopedic insoles improved participant’s posture based on the correct alignment (180°) of the heel with the ankle. We believe these posture improvements could further impact on participant’s gait performance. Therefore, we expect a significant improvement on participant’s gait after constant use of both ATs developed.


1992 ◽  
Vol 82 (1) ◽  
pp. 39-41 ◽  
Author(s):  
R Peltz ◽  
RA Frost

Polydactyly is a fairly common congenital foot deformity. Treatment may include simple shoe modification or surgical intervention. Careful preoperative planning must be undertaken with each patient because of the uniqueness of each individual case. A case of type A postaxial polydactyly was presented with a brief review of classification, etiology, and treatment.


2016 ◽  
Vol 96 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Elia Utrilla-Rodríguez ◽  
María Jesús Guerrero-Martínez-Cañavete ◽  
Manuel Albornoz-Cabello ◽  
Pedro V. Munuera-Martínez

Background Metatarsus adductus (MA) is the most common congenital foot deformity observed in children. Objectives The aims of this study were: (1) to analyze the evolution of a corrective bandage for semirigid MA in newborns and (2) to recommend the age interval at which to start treatment of MA with the corrective bandage alone, without the need of splints. Design An observational clinical study was conducted. Methods The study was conducted at Virgen Macarena University Hospital in Seville, Spain. Children born with semirigid MA at the hospital during the years 2010–2011 were included. Corrective bandaging was applied to all children until clinical correction of the deformity. Sex, laterality of the deformity, weight and length of the newborn, age at the start of treatment, antecedents related to the pregnancy and birth, type of treatment (bandaging, splints), and correction or no correction with bandaging alone were recorded. Age differences at the start of the bandaging treatment between children whose deformity was corrected with and without the need of splints were examined. The receiver operating characteristic curve method was applied to analyze the predictive ability of the age at the start of bandaging treatment relative to whether the deformity was corrected or not corrected with bandaging alone. Results The bandage achieved complete correction in 68.1% of the children and corrected the deformity more frequently in girls compared with boys. Of the 56 children who began the treatment within the first month of life, 92.8% achieved correction of the foot deformity with the corrective bandaging alone. Limitations Patients' follow-up time was only 2 years, so it was only feasible to analyze the corrective bandaging method over the short term and medium term. Conclusions Corrective bandages showed high effectiveness, particularly in girls, and overall when started within the first month of life.


The Foot ◽  
1998 ◽  
Vol 8 (4) ◽  
pp. 233-234
Author(s):  
T.R Cresswell ◽  
T.W.D Smith ◽  
A Morfis

2020 ◽  
Vol 102-B (11) ◽  
pp. 1582-1586
Author(s):  
Øvind Håberg ◽  
Olav A. Foss ◽  
Østein Bjerkestrand Lian ◽  
Ketil Jarl Holen

Aims To assess if congenital foot deformity is a risk factor for developmental dysplasia of the hip (DDH). Methods Between 1996 and 2012, 60,844 children were born in Sør-Trøndelag county in Norway. In this cohort study, children with risk factors for DDH were examined using ultrasound. The risk factors evaluated were clinical hip instability, breech delivery, a family history of DDH, a foot deformity, and some syndromes. As the aim of the study was to examine the risk for DDH and foot deformity in the general population, children with syndromes were excluded. The information has been prospectively registered and retrospectively analyzed. Results Overall, 494 children (0.8%) had DDH, and 1,132 (1.9%) a foot deformity. Of the children with a foot deformity, 49 (4.3%) also demonstrated DDH. There was a statistically significant increased association between DDH and foot deformity (p < 0.001). The risk of DDH was highest for talipes calcaneovalgus (6.1%) and club foot (3.5%), whereas metatarsus adductus (1.5%) had a marginal increased risk of DDH. Conclusion Compared with the general population, children with a congenital foot deformity had a significantly increased risk for DDH and therefore we regard foot deformity as a true risk factor for DDH. Cite this article: Bone Joint J 2020;102-B(11):1582–1586.


2020 ◽  
Vol 7 (2) ◽  
pp. 200-209 ◽  
Author(s):  
Wo‐Tu Tian ◽  
Li‐Hua Liu ◽  
Hai‐Yan Zhou ◽  
Chao Zhang ◽  
Fei‐Xia Zhan ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
pp. 75-78
Author(s):  
Ilya Krestyashin ◽  
Aleksander Razumovskiy ◽  
Vladimir Krestyashin ◽  
Ivan Kuzhelivskiy ◽  
Aleksander Isakov ◽  
...  

Aim. The study aimed to improve the outcomes for surgical correction of talipes equinovarus in children using the Ponseti method, as well as vertical talus correction using the Dobbs method combined with massage, physiotherapy and therapeutic exercise. Material and methods. In the period from 2015 to 2020, 109 children were examined and treated at the Filatov City Children’s Hospital, Moscow. Results. The study has revealed that without timely correction the orthopedic foot pathology in children is often accompanied by pain, functional changes and a high risk of developing disability in a child, which determines a high social significance of this nosology. After a comprehensive assessment and a combination of conservative and surgical correction techniques, the congenital foot deformity in all children was completely eliminated. Conclusion. The Ponseti method is required to be carefully adhered to in order to achieve a complete pes equino-varus correction. Early start of correction of changes is effective.


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