Association française de chirurgie du pied

Besse, Jean-Luc; Leemrijse, Thibaut; Thémar-Noël, Christine; Tourné, Y.

doi:10.1016/s0035-1040(06)75703-8

Cited by 17 publications

(4 citation statements)

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“…This has made it challenging to interpret the actual impact of OA on gainful employment from many previous studies. Also, while there are studies that have treated foot OA [17], [18], neck and/or spine OA [19]–[21], multiple site OA [22], or pain due to those conditions as outcomes, there do not appear to be direct studies of the impact on employment loss due to OA at those sites specifically.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Disease Site (Knee, Hip, Hand, Foot, Lower Back or Neck) on Employment Reduction Due to Osteoarthritis

Sayre

Kopeć

et al. 2010

PLoS ONE

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BackgroundOsteoarthritis (OA) has a significant impact on individuals' ability to work. Our goal was to investigate the effects of the site of OA (knee, hip, hand, foot, lower back or neck) on employment reduction due to OA (EROA).Methods and FindingsThis study involved a random sample of 6,000 patients with OA selected from the Medical Service Plan database in British Columbia, Canada. A total of 5,491 were alive and had valid addresses, and of these, 2,259 responded (response rate = 41%), from which 2,134 provided usable data. Eligible participants were 19 or older with physician diagnosed OA based on administrative data between 1992 and 2006. Data of 688 residents were used (mean age 62.1 years (27 to 86); 60% women). EROA had three levels: no reduction; reduced hours; and total cessation due to OA. The (log) odds of EROA was regressed on OA sites, adjusting for age, sex, education and comorbidity. Odds ratios (ORs) represented the effect predicting total cessation and reduced hours/total cessation. The strongest effect was found in lower back OA, with OR = 2.08 (95% CI: 1.47, 2.94), followed by neck (OR = 1.59; 95% CI: 1.11, 2.27) and knee (OR = 1.43; 95% CI: 1.02, 2.01). We found an interaction between sex and foot OA (men: OR = 1.94; 95% CI: 1.05, 3.59; women: OR = 0.89; 95% CI = 0.57, 1.39). No significant effect was found for hip OA (OR = 1.33) or hand OA (OR = 1.11). Limitations of this study included a modest response rate, the lack of an OA negative group, the use of administrative databases to identify eligible participants, and the use of patient self-reported data.ConclusionsAfter adjusting for socio-demographic variables, comorbidity, and other OA disease sites, we find that OA of the lower back, neck and knee are significant predictors for EROA. Foot OA is only significantly associated with EROA in males. For multi-site combinations, ORs are multiplicative. These findings may be used to guide resource allocation for future development/improvement of vocational rehabilitation programs for site-specific OA.

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Section: Introductionmentioning

confidence: 99%

The Effect of Disease Site (Knee, Hip, Hand, Foot, Lower Back or Neck) on Employment Reduction Due to Osteoarthritis

Sayre

Kopeć

et al. 2010

PLoS ONE

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“…This shows that the physiotherapy achieved a more flexible foot, allowing a more conservative surgery. This is particularly significant because it has been shown that extensive surgery results in long-term overcorrection, stiffness, pain and osteoarthritis of the foot and ankle; a lesser correction is well-tolerated and easier to treat in adulthood than a hypercorrection[24]. Our major difficulty with the RD method was the failure to satisfactorily correct the equinus of the calcaneus; most children did not keep the feet inside the shoes with the Denis-Browne bar, despite the adjustments made inside the shoes.…”

Section: Discussionmentioning

confidence: 99%

Functional physiotherapy method results for the treatment of idiopathic clubfoot

García-González¹,

Hodgson-Ravina²,

Aguirre‐Jaime³

2019

WJO

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BACKGROUND Idiopathic clubfoot is a congenital deformity of multifactorial etiology. The initial treatment is eminently conservative; one of the methods applied is the Functional physiotherapy method (FPM), which includes different approaches: Robert Debré (RD) and Saint-Vincent-de-Paul (SVP) among them. This method is based on manipulations of the foot, bandages, splints and exercises adapted to the motor development of the child aimed to achieve a plantigrade and functional foot. Our hypothesis was that the SVP method could be more efficient than the RD method in correcting deformities, and would decrease the rate of surgeries. AIM To compare the RD and SVP methods, specifically regarding the improvement accomplished and the frequency of surgery needed to achieve a plantigrade foot. METHODS Retrospective study of 71 idiopathic clubfeet of 46 children born between February 2004 and January 2012, who were evaluated and classified in our hospital according to severity by the Dimeglio-Bensahel scale. We included moderate, severe and very severe feet. Thirty-four feet were treated with the RD method and 37 feet with the SVP method. The outcomes at a minimum of two years were considered as very good (by physiotherapy), good (by percutaneous heel-cord tenotomy), fair (by limited surgery), and poor (by complete surgery). RESULTS Complete release was not required in any case; limited posterior release was done in 23 cases (74%) with the RD method and 9 (25%) with the SVP method ( P < 0.001). The percutaneous heel-cord tenotomy was done in 2 feet treated with the RD method (7%) and 6 feet (17%) treated with the SVP method ( P < 0.001). Six feet in the RD group (19%) and twenty-one feet (58%) in the SVP group did not require any surgery ( P < 0.001). CONCLUSION Our study provides evidence of the superiority of the SVP method over the RD method, as a variation of the FPM, for the treatment of idiopathic clubfoot.

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“…With the ability to assess for CTEV on fetal ultrasound, the patient’s treatment can begin immediately after birth [ 10 ]. However, correction during childhood can still necessitate continued treatment throughout adulthood, especially with the persistence of deformities, pain, and arthritis [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Surgical intervention may be indicated if conservative treatment is insufficient, though those treated for congenital clubfoot rarely need intervention in adulthood [ 13 ]. Of note, adults previously treated for congenital clubfoot commonly have asymptomatic talar hypoplasia and an associated decreased ability to dorsiflex the ankle [ 10 ]. Persistent hindfoot symptoms in adults previously treated for congenital clubfoot often occur due to poor surgical technique leading to subsequent, progressively worsening ankle instability.…”

Section: Introductionmentioning

confidence: 99%

A Novel Orthoplastic Reconstruction of Relapsed Clubfoot With Total Ankle Arthroplasty

Fijany,

Olsson,

Givechian

et al. 2023

Cureus

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Congenital clubfoot is addressed in infancy and rarely persists into adulthood. Ankle arthroplasty is an increasingly popular surgical intervention for patients with ankle arthritis since it allows a natural ankle range of motion and completely replaces a degenerative hindfoot. Here, we describe the first successful total ankle arthroplasty (TAA) for a patient with previously treated congenital clubfoot that reverted later in life. To address the patient's poor soft-tissue integument and reduce the likelihood of post-surgical complications, a perioperative latissimus muscle-free flap was performed. This two-staged, novel orthoplastic intervention addressed our patient's ankle issues and appears to be a viable option for clubfoot patients.

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Association française de chirurgie du pied

Cited by 17 publications

References 0 publications

The Effect of Disease Site (Knee, Hip, Hand, Foot, Lower Back or Neck) on Employment Reduction Due to Osteoarthritis

The Effect of Disease Site (Knee, Hip, Hand, Foot, Lower Back or Neck) on Employment Reduction Due to Osteoarthritis

Functional physiotherapy method results for the treatment of idiopathic clubfoot

A Novel Orthoplastic Reconstruction of Relapsed Clubfoot With Total Ankle Arthroplasty

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