Functional outcomes of Ponseti method among children with congenital clubfoot: a healthcare facility-based longitudinal study

Background/Aim. In this paper we present our modification of the Ponseti method which we have been using for the treatment of severe forms of congenital clubfoot since 2007. The aim of this paper was to determine, on the basis of the analysis of results, the impact of the early tenotomy of the Achilles tendon on the length and results of treatment of severe forms of congenital clubfoot. Methods. The study was prospective and lasted from 2007 to 2016 year. It was implemented in the Clinic for Children's Surgery Banjaluka. The Group 1 consisted of the subjects treated by the modified Ponseti method in the period of 9 years (2007?2016). There were a total of 30 subjects (52 feet). There were 20 (67%) of male and 10 (33%) of female subjects. There were 22 (77%) subjects with bilateral and 8 (27%) with unilateral deformity. The Group 2 consisted of the subjects treated by the classic Ponseti method in the period of 9 years (2007?2016). There were a total of 32 subjects (52 feet). There were 26 (81%) of male and 6 (19%) of female subjects. There were 20 (63%) of subjects with bilateral and 12 (37%) with unilateral deformity. We used the Pirani score for: classification of deformity according to the severity, monitoring of results of the correction, determination of indication for tenotomy of the Achilles tendon and for the analysis of results of the treatment. Results. The total length of treatment in the Group 1 was from 6 to 9 weeks (mean = 6.71 ? 0.871), and in the Group 2 from 9 to 12 weeks (mean = 9.92 ? 0.882) (r = 0.86; p = 0.001). There was no difference in the results of the treatment (?2 = 2.372 df = 2 n = 52 p = 0.936. Conclusion. Applying early tenotomy of Achilles tendon in the treatment of severe forms of congenital club foot significantly shortens the duration of treatment and has no negative impact on the results of treatment.

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MODERN CONCEPTS OF CONSERVATIVE TREATMENT METHODS OF CLUBFOOT

Pediatric Traumatology Orthopaedics and Reconstructive Surgery ◽

10.17816/ptors2420-31 ◽

2014 ◽

Vol 2 (4) ◽

pp. 20-31

Author(s):

Irina Yurievna Klychkova ◽

Yuri Alexeevich Lapkin ◽

Mikhail Pavlovich Konyukhov ◽

Yulia Aleksandrovna Stepanova ◽

Vladimir Markovich Kenis

Keyword(s):

Conservative Treatment ◽

Ponseti Method ◽

The Other ◽

Long Term Results ◽

Treatment Results ◽

Congenital Clubfoot ◽

Functional Methods ◽

The World ◽

Accepted Standard

Conservative treatment of congenital clubfoot is generally accepted standard in the world orthopedic practice. There are many techniques that basically include functional methods and techniques of passive correction of the deformity. We analyzed 10 years of experience in the treatment of primary clubfoot according to three techniques - Zatsepin’s method, author’s method and Ponseti method. The evaluation of treatment results in the short and long terms was carried out. Analysis of long-term results showed a statistically significant advantage of Pontseti method over the other used techniques.

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Rational selection of treatment methods in recurrent clubfoot

Health and Ecology Issues ◽

10.51523/2708-6011.2021-18-3-8 ◽

2021 ◽

pp. 64-71

Author(s):

G. V. Divovich

Keyword(s):

Surgical Treatment ◽

Bone Growth ◽

Soft Tissues ◽

Primary Treatment ◽

Ponseti Method ◽

Growth Potential ◽

Idiopathic Clubfoot ◽

Rational Selection ◽

Congenital Clubfoot ◽

Selection Of

Objective. Based on an analytical assessment of the results of surgical treatment of children with equinovarus foot deformity of various origins (idiopathic clubfoot, syndromic clubfoot), to determine a way of rational selection of surgical techniquesin each specifc case.Materials and methods. The results of the treatment of 78 children with congenital idiopathic clubfoot over the period 2010–2018 were assessed in comparison with the results of the treatment of 41 children with recurrent congenital clubfoot, whose primary treatment had been carried out before 2010. We have gained the experience in treating 30 children with severe clubfoot syndrome (meningomyelocele, CNS lesions, chromosomal diseases and others).Results. In the treatment of congenital clubfoot with the Ponseti method, recurrences occur in 21.79 % of the cases, and in the traditional treatment — in 57.74 %. The Ponseti surgical treatment of recurrences consists in performing release operations on the tendon-ligament apparatus from mini-accesses. Cases of rigid, long-standing deformities require extensive releases on soft tissues, as well as resection and arthrodesis interventions on the joints of the foot. The treatment of clubfoot syndrome requires “surgically aggressive” methods of correction in early childhood.Conclusion. In the idiopathic variants of clubfoot and its relapses, it is possible to correct the vicious position of the feet by minimally invasive operations with minimal damage to the tissues of the circumﬂex joints and without damage to the ﬂexor tendons and their sheaths in the medial ankle area. Long-standing recurrent rigid variants, as well as syndromic clubfoot, presuppose the performance of extensive releases, osteotomies and arthrodetic resections of the joints of the foot at an early age. A promising direction for clubfoot correction in the process of child development is a surgery with the use of the bone growth potential of the lower leg and foot.

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Treatment of idiopathic congenital clubfoot using the Ponseti method: ten years of experience

Revista Brasileira de Ortopedia (English Edition) ◽

10.1016/j.rboe.2013.01.001 ◽

2013 ◽

Vol 48 (4) ◽

pp. 362-367

Author(s):

Luiz Carlos Ribeiro Lara ◽

Delmo João Carlos Montesi Neto ◽

Fagner Rodrigues Prado ◽

Adonai Pinheiro Barreto

Keyword(s):

Ponseti Method ◽

Years Of Experience ◽

Congenital Clubfoot

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Treatment of congenital clubfoot using Ponseti method

Revista Brasileira de Ortopedia (English Edition) ◽

10.1016/j.rboe.2015.06.020 ◽

2016 ◽

Vol 51 (3) ◽

pp. 313-318 ◽

Cited By ~ 1

Author(s):

Alceu José Fornari Gomes Chueire ◽

Guaracy Carvalho Filho ◽

Otto Yosuke Kobayashi ◽

Leonardo Carrenho

Keyword(s):

Ponseti Method ◽

Congenital Clubfoot

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The efficiency of the Ponseti method in relapsing forms of congenital clubfoot

Vrač skoroj pomoŝi (Emergency Doctor) ◽

10.33920/med-02-2102-02 ◽

2021 ◽

pp. 26-32

Author(s):

Khushnud Khusainovich Rustamov ◽

Dilmurod Ruzimetovich Ruzibaev ◽

Otaboy Zokirovich Niyozmetov ◽

Rasuldzhon Kalandarovich Rakhimov ◽

Timur Bulatovich Minasov ◽

...

Keyword(s):

Gold Standard ◽

Treatment Process ◽

Ponseti Method ◽

Congenital Clubfoot ◽

Anterior Tibial Muscle ◽

Anterior Tibial ◽

The World ◽

The Disabled

In the last decade, the Ponseti method has been recognized by most orthopedists around the world as the gold standard for clubfoot treatment. However, the efficiency of the Ponseti method in relapsing forms of congenital clubfoot in children has been under-examined. We analyzed 103 patients with relapsing clubfoot, aged 1 to 9 years, who were treated at the National Center of Rehabilitation and Prosthetics of the Disabled from 2017 to 2019. These patients had a relapse with typical clubfoot contractures without multiplanar deformity of the feet. The treatment process consisted in the application of the method of I. Ponseti for all patients; if indicated, transplantation of the tendon of the anterior tibial muscle was performed.

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