Comparison of ponseti method versus surgical treatment in congenital idiopathic clubfoot: A 5-year follow up study

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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MANAGEMENT OF IDIOPATHIC CONGENITAL CLUBFOOT USING PONSETI METHOD

10.36106/ijar/5904771 ◽

2021 ◽

pp. 38-39

Author(s):

Chunchesh MD Chunchesh MD ◽

Vani Ahuja ◽

Kiran S Mahapure

Keyword(s):

Cost Effective ◽

Ponseti Method ◽

Foot Deformities ◽

Idiopathic Clubfoot ◽

Congenital Talipes Equinovarus ◽

Cost Effective Treatment ◽

Pediatric Orthopaedics ◽

Talipes Equinovarus ◽

Main Factor

Introduction: Idiopathic congenital talipes equinovarus is a complex deformity that is difcult to correct. The treatment of clubfoot is controversial and continues to be one of the biggest challenges in pediatric orthopaedics. Most orthopedists agree that the initial treatment should be non-surgical and should be started soon after birth. We aimed to study a short-term follow up of 30 patients treated by the Ponseti method at our institute to assess the efcacy of the treatment modality. Methodology: 30 patients underwent Ponseti method for a period of 2 years, patients were followed up regularly at weekly intervals. The severity of foot deformities was graded as per Pirani's scoring system. Results: The Ponseti method is a safe and cost-effective treatment for congenital idiopathic clubfoot and radically decreases the need for extensive corrective surgery. Non-compliance with orthotics has been widely reported to be the main factor causing failure of the technique. At the end of study good results were obtained in 28 patients. 2 patients developed recurrence of the deformity due to non-compliance of the use of Orthotics.

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An analysis of follow-up results of 1000 intracranial saccular aneurysms with definitive surgical treatment

Journal of Neurosurgery ◽

10.3171/jns.1979.50.2.0152 ◽

1979 ◽

Vol 50 (2) ◽

pp. 152-157 ◽

Cited By ~ 76

Author(s):

Takashi Yoshimoto ◽

Keita Uchida ◽

Uichi Kaneko ◽

Takamasa Kayama ◽

Jiro Suzuki

Keyword(s):

Surgical Treatment ◽

Postoperative Results ◽

Content Type ◽

Poor Condition ◽

Follow Up Study ◽

Normal Life ◽

Definitive Surgery ◽

Fine Print ◽

Saccular Aneurysms

✓ The authors report a follow-up review of 1000 cases of intracranial definitive surgery for saccular aneurysms. The prognosis for such surgical cases is discussed. Postoperative results at least 6 months after discharge from the hospital were analyzed in 876 (93.3%) of the 939 surviving patients. The longest follow-up period was 14 years and 5 months, with an average of 3 years and 7 months. At the time of discharge, there were 543 excellent results, 186 good, 117 fair, 93 poor, and 61 deaths. The chief findings were as follows: 1) Most of the patients determined as “excellent” or “good” at discharge were able to return to normal life; most of the deaths or instances of worsened condition found in the follow-up study were due to new lesions. 2) Fully 62% of the cases determined as “fair” at discharge were found in an improved state at the follow-up study, having returned to normal life. 3) Only 19% of cases determined as “poor” at discharge had improved to the point where a return to normal life was possible, the majority having died or remaining in poor condition.

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Effect of multiple subconjunctival conbercept injections as an adjuvant to the surgical treatment of pterygium: a prospective randomised comparative 6-month follow-up study

Eye ◽

10.1038/s41433-019-0596-7 ◽

2019 ◽

Vol 34 (2) ◽

pp. 408-414 ◽

Cited By ~ 1

Author(s):

Jing Zhang ◽

Quanxi Tian ◽

Tian Zheng ◽

Donglai Chen ◽

Qing Wang ◽

...

Keyword(s):

Surgical Treatment ◽

Follow Up Study

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Surgical treatment of cerebrovascular occlusive disease. A follow-up study

Acta Neurochirurgica ◽

10.1007/bf01456368 ◽

1986 ◽

Vol 82 (3-4) ◽

pp. 102-109 ◽

Cited By ~ 1

Author(s):

L. M. Auer ◽

R. W. Oberbauer ◽

G. Clarici ◽

R. Pucher

Keyword(s):

Surgical Treatment ◽

Occlusive Disease ◽

Follow Up Study ◽

Cerebrovascular Occlusive Disease

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Long-Term Results of the Surgical Treatment of Spinal Dermoid and Epidermoid Tumors.

Neurosurgery ◽

10.1227/00006123-198912000-00002 ◽

1989 ◽

Vol 25 (6) ◽

pp. 860-864 ◽

Cited By ~ 81

Author(s):

Pierpaolo Lunardi ◽

Paolo Missori ◽

Franco M. Gagliardi ◽

Aldo Fortuna

Keyword(s):

Surgical Treatment ◽

Nervous Tissue ◽

Working Life ◽

Clinical Findings ◽

Long Term Results ◽

Tumor Capsule ◽

Follow Up Study

Abstract The clinical findings and the results of surgical treatment in 16 patients with spinal dermoid or epidermoid tumors are reported. In 9 patients the tumor capsule adhered so tightly to the nervous tissue that part of it was left in situ. In a follow-up study ranging from 5 to 30 years with a mean of 14.2 years only 1 patient had a recurrence of the tumor and 10 patients resumed a normal working life.

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Follow-up study of surgical treatment for contracture of the shoulder.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.36.1098 ◽

1988 ◽

Vol 36 (4) ◽

pp. 1098-1102

Author(s):

Takashi Hashimoto ◽

Tsukasa Matsumoto ◽

Junji Awakuni ◽

Shinichi Nakamitsu ◽

Osamu Kosakai

Keyword(s):

Surgical Treatment ◽

Follow Up Study

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Regression of endothelial dysfunction in patients with endometriosis after surgical treatment: a 2-year follow-up study

Human Reproduction ◽

10.1093/humrep/deu074 ◽

2014 ◽

Vol 29 (6) ◽

pp. 1205-1210 ◽

Cited By ~ 5

Author(s):

L. Santoro ◽

F. D'Onofrio ◽

S. Campo ◽

P. M. Ferraro ◽

A. Flex ◽

...

Keyword(s):

Surgical Treatment ◽

Endothelial Dysfunction ◽

Follow Up Study

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Tricorrectional bunionectomy for surgical repair of juvenile hallux valgus

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-82-1-21 ◽

1992 ◽

Vol 82 (1) ◽

pp. 21-24 ◽

Cited By ~ 5

Author(s):

AJ Selner ◽

MD Selner ◽

RA Tucker ◽

G Eirich

Keyword(s):

Surgical Treatment ◽

Hallux Valgus ◽

Surgical Repair ◽

Follow Up Study ◽

The Past

The authors propose the use of the tricorrectional bunionectomy as an alternate correction of severe deformity in juvenile hallux valgus. In the past, hallux valgus surgery in juveniles has been avoided. A follow-up study of the tricorrectional bunionectomy as the surgical treatment for juvenile bunion deformity in seven patients is presented.

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