A knee-ankle-foot orthosis in treatment of talipes equino varus (TEV) with better patient compliance

Emara, Khaled; Diab, Ramy Ahmed

doi:10.1007/s12570-015-0323-1

Cited by 3 publications

(16 citation statements)

References 13 publications

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“…The overall nonadherence to ULO ranged from 0 to 22% and recurrence rates 0-83%. Better adherence with this orthosis was also reported in select series [13,17]. Nonadherence was a major issue for the above-knee orthosis with dial mechanism used by George et al [9] One series also reported no recurrence of deformity following use of ULO [11].…”

Section: Evaluation Of Treatment Outcomementioning

confidence: 82%

“…The nature, type and level of evidence of included studies [8][9][10][11][12][13][14][15][16][17] as per American Academy of Orthopaedic Surgeons recommendations for 'Level of Evidence for Therapeutic Studies' is shown in Table 1 [18]. Studies by Solanki et al [8], George et al [9], Emara and Diab [17], McCartney et al [11], Manousaki et al [14] were considered under the case series category since patients were treated with a particular ULO but no comparison groups were available. For studies by Janicki et al [12], Saetersdal et al [13,15], Berger et al [16], a comparison existed.…”

Section: Methodsmentioning

confidence: 99%

“…'F' included: gait analysis; active range of movement; foot abduction; tibial torsion; activities of daily living; ability to wear normal footwear; 'O' included: imaging modalities such as ultrasound or radiographs, foot scanning, pedobarography (including radiologically calculated angles) [3]. We added an additional category [12] Retrospective Comparative study b III George et al [9] Retrospective Case series a IV Saetersdal et al [13] Retrospective Comparative study b III Emara and Diab [17] Retrospective Case series a IV Chen et al [10] Prospective Lesser quality randomized control study II Manousaki et al [14] Retrospective Case series a IV Saetersdal et al [15] Retrospective Comparative study b III McCartney et al [11] Prospective Case series a IV Berger et al [16] Retrospective Comparative study b III As per the American Academy of Orthopaedic Surgeons (AAOS) recommendations for Level of Evidence for Therapeutic Studies [18]. a Patients treated one way with no comparison group of patients treated in another way.…”

Section: Methodsmentioning

confidence: 99%

“…Emara et al set foot at 70° of external rotation with knee fixed in flexion in his above-knee orthosis [17]. The authors admitted to possible gastrocnemius muscle atrophy and shortening with the orthosis but still defended its use by calling it a predominant night splint.…”

Section: Unilateral Limb Orthosis Designsmentioning

confidence: 99%

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Unilateral limb orthosis for maintenance of deformity correction following treatment of clubfoot with Ponseti technique: a systematic review

Agarwal

Rastogi

Talwar

et al. 2021

Journal of Pediatric Orthopaedics B

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The systematic review study aimed to investigate the following details in the clubfoot children treated with the Ponseti technique: (1) to review the various designs and prescriptions of unilateral limb orthosis described in literature; (2) to find the outcome following use of this orthosis, especially patient adherence and recurrence; (3) comparison with standard bilateral limb foot abduction orthosis. A literature search was performed for articles published in 'Pubmed (includes Medline indexed journals)' electronic databases for broad key words: 'Clubfoot or CTEV or congenital talipes equinovarus', 'orthosis or brace or splint'. Included were studies that addressed the treatment of idiopathic clubfoot in children up to 2 years of age using the Ponseti technique and use of unilateral limb orthosis for the subsequent maintenance phase. We excluded studies reporting Ponseti technique for nonidiopathic clubfoot, child age older than 2 years at the time of primary treatment, studies where unilateral limb orthosis was used as a tool for primary correction of all or some components of clubfoot and design descriptions of orthosis without practical usage data. Of the 1537 articles from the database, 10 articles were included in the final review. Most studies were retrospective, underpowered and had a short term follow-up. In some series, the use of this orthosis was driven by personal experiences and regional preferences rather than a just scientific explanation. The tested designs were variable and nonstandardized. Being less restrictive, unilateral limb orthosis may have an edge over bilateral limb orthosis in terms of patient adherence. The available comparative studies however showed inferiority of unilateral orthoses when compared to the bilateral limb orthosis in preventing recurrences in clubfoot treatment. There is insufficient evidence to support use of unilateral limb orthosis for maintenance of deformity correction following treatment of clubfoot with the Ponseti technique. Their use was found associated with high recurrence rates.

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Section: Evaluation Of Treatment Outcomementioning

confidence: 82%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Unilateral Limb Orthosis Designsmentioning

confidence: 99%

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Unilateral limb orthosis for maintenance of deformity correction following treatment of clubfoot with Ponseti technique: a systematic review

Agarwal

Rastogi

Talwar

et al. 2021

Journal of Pediatric Orthopaedics B

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“…The parents reported ease with bracing and full compliance with the brace which proved to be comfortable and effective in maintaining correction. However, their study lacked a control group to validate their hypothesis [22].…”

Section: Discussionmentioning

confidence: 99%

The foot external rotation above-knee (FERAK) brace versus the Denis Browne brace for management of idiopathic clubfoot following Ponseti casting: a randomized controlled trial

Hegazy

Barbary

Hammoud³

et al. 2021

International Orthopaedics (SICOT)

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Purpose To compare the foot external rotation above-knee (FERAK) brace and the Denis Browne boot (DBB) brace in terms of relapse prevention and parents' compliance after successful correction with Ponseti casting. Methods A single-centre, randomized controlled study was conducted between 2016 and 2020. A total of 60 feet in 38 patients with idiopathic clubfoot initially corrected with the Ponseti method were included. They were randomized into two equal groups: the FERAK group and the DBB group. The primary outcome was the efficacy in maintaining correction measured by the Pirani score. The secondary outcomes were parents' compliance and complications (e.g., relapses, skin complications). ResultsThe follow-up period was 24 months for each patient. The mean final Pirani score was 0.42 ± 0.76 in the FERAK group and 0.57 ± 0.82 in the DBB group. This difference was statistically insignificant (p-value = 0.411). Regarding parents' compliance in the FERAK group, 86.7% of parents had good and intermediate compliance while 13.3% had bad compliance. In the DBB group, 66.7% had good and intermediate compliance while 33.3% had bad compliance. This difference was also statistically insignificant (p-value = 0.118). Conclusion Both braces achieved good comparable outcomes after Ponseti casting. However, the FERAK brace yielded slightly better parents' compliance with a less recurrence rate.

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Foot abduction orthosis compliance in clubfoot treatment

Singh

Mali

2023

3D Printing in Podiatric Medicine

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A knee-ankle-foot orthosis in treatment of talipes equino varus (TEV) with better patient compliance

Cited by 3 publications

References 13 publications

Unilateral limb orthosis for maintenance of deformity correction following treatment of clubfoot with Ponseti technique: a systematic review

Unilateral limb orthosis for maintenance of deformity correction following treatment of clubfoot with Ponseti technique: a systematic review

The foot external rotation above-knee (FERAK) brace versus the Denis Browne brace for management of idiopathic clubfoot following Ponseti casting: a randomized controlled trial

Foot abduction orthosis compliance in clubfoot treatment

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