Foot size asymmetry following Ponseti treatment versus comprehensive surgical releases for unilateral clubfeet

Wallace, Juanita; White, Hank; Augsburger, Samuel F; Talwalkar, Vishwas; Muchow, Ryan D.; Iwinski, Henry J.; Walker, Janet L.

doi:10.1097/bpb.0000000000000548

Cited by 7 publications

(11 citation statements)

References 23 publications

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“…The median age at the rst foot length measurement was 2 years (range, 2-3 years). The median number of measurements for each child was 10 (range, [8][9][10][11].…”

Section: Methodsmentioning

confidence: 99%

“…Hemo et al found that severity score at baseline and number of casts needed for correction correlated with foot length before the start of treatment [7]. Foot size at end of growth can also depend on the treatment method [8][9][10]. Wallace et al showed that in unilateral cases, nonsurgically treated clubfeet were 1.3 shoe sizes larger than surgically treated clubfeet, and that both surgically and nonsurgically treated clubfeet were signi cantly shorter than the contralateral feet at ages 10 to 12 years [8].…”

Section: Introductionmentioning

confidence: 99%

“…Foot size at end of growth can also depend on the treatment method [8][9][10]. Wallace et al showed that in unilateral cases, nonsurgically treated clubfeet were 1.3 shoe sizes larger than surgically treated clubfeet, and that both surgically and nonsurgically treated clubfeet were signi cantly shorter than the contralateral feet at ages 10 to 12 years [8]. Kesemenli et al showed that unilateral clubfeet were 9-15 mm shorter than the contralateral feet depending on the age and treatment method, with the surgically treated clubfeet showing a greater difference [10].…”

Section: Introductionmentioning

confidence: 99%

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Development of Foot Length in Children with Congenital Clubfoot up to 7 Years of Age: A Prospective Follow-Up Study

Manousaki

Esbjörnsson

Hägglund

et al. 2021

Preprint

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Background: Clubfeet are typically shorter than normal feet. This study aimed to describe the development of foot length in a consecutive series of children with congenital clubfoot and to relate foot length to development of relapse and motion quality.Methods: Foot length was measured every 6 months in 72 consecutive children with congenital clubfoot (29 bilateral) aged from 2 to 7 years. The initial treatment was nonsurgical followed by standardized orthotic treatment. Foot length growth rate was calculated every half year. In children with unilateral clubfeet, the difference in foot length between the clubfoot and the contralateral foot was calculated. Motion quality was evaluated by the Clubfoot Assessment Protocol (CAP). Student’s t test, the Mann–Whitney U test and Spearman’s correlation were used for group comparisons. Bonferroni correction was used when multiple comparisons were performed.Results: Clubfeet were smaller (P < 0.001) than reference feet at all ages but had a similar growth rate up to age 7. Unilateral clubfeet with greater difference in size compared with the contralateral foot at the first measurement, relapsed more frequently (P = 0.016) and correlated with poorer motion quality (r = 0.4; P = 0.011).Conclusions: Clubfeet were smaller than reference feet at all ages but had a similar growth rate. Children with unilateral clubfeet and greater foot length difference at 2 years of age had a higher tendency to relapse and poorer motion quality at 7 years of age.

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“…The median age at the rst foot length measurement was 2 years (range, 2-3 years). The median number of measurements for each child was 10 (range, [8][9][10][11].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development of Foot Length in Children with Congenital Clubfoot up to 7 Years of Age: A Prospective Follow-Up Study

Manousaki

Esbjörnsson

Hägglund

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Hemo et al found that severity score at baseline and number of casts needed for correction correlated with foot length before the start of treatment [ 7 ]. Foot size at end of growth can also depend on the treatment method [ 8 – 10 ]. Wallace et al showed that in unilateral cases, nonsurgically treated clubfeet were 1.3 shoe sizes larger than surgically treated clubfeet, and that both surgically and nonsurgically treated clubfeet were significantly shorter than the contralateral feet at ages 10 to 12 years [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Foot size at end of growth can also depend on the treatment method [ 8 – 10 ]. Wallace et al showed that in unilateral cases, nonsurgically treated clubfeet were 1.3 shoe sizes larger than surgically treated clubfeet, and that both surgically and nonsurgically treated clubfeet were significantly shorter than the contralateral feet at ages 10 to 12 years [ 8 ]. Kesemenli et al showed that unilateral clubfeet were 9–15 mm shorter than the contralateral feet depending on the age and treatment method, with the surgically treated clubfeet showing a greater difference [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Development of foot length in children with congenital clubfoot up to 7 years of age: a prospective follow-up study

Manousaki

Esbjörnsson

Hägglund

et al. 2021

BMC Musculoskelet Disord

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Background Clubfeet are typically shorter than normal feet. This study aimed first to describe the development of foot length in a consecutive series of children with congenital clubfoot and second to relate foot length to development of relapse and motion quality. Methods Foot length was measured every 6 months in 72 consecutive children with congenital clubfoot (29 bilateral) aged from 2 to 7 years. The initial treatment was nonsurgical followed by standardized orthotic treatment. Foot length growth rate was calculated every half year. In children with unilateral clubfeet, the difference in foot length between the clubfoot and the contralateral foot was calculated. Motion quality was evaluated by the Clubfoot Assessment Protocol (CAP). Student’s t test, the Mann–Whitney U test and Spearman’s correlation were used for group comparisons. Bonferroni correction was used when multiple comparisons were performed. Results Clubfeet were smaller (P < 0.001) than reference feet at all ages but had a similar growth rate up to age 7. Unilateral clubfeet with greater difference in size compared with the contralateral foot at the first measurement, relapsed more frequently (P = 0.016) and correlated with poorer motion quality (r = 0.4; P = 0.011). Conclusions As previously reported, clubfeet were smaller than reference feet at all ages. The growth rate, however, was similar between clubfeet and reference feet. Children with unilateral clubfeet and greater foot length difference at 2 years of age had a higher tendency to relapse and poorer motion quality at 7 years of age, indicating that foot length could be used as a prognostic tool.

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Long-term outcomes of the Ponseti method for treatment of clubfoot: a systematic review

Rastogi

Agarwal

2021

International Orthopaedics (SICOT)

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Foot size asymmetry following Ponseti treatment versus comprehensive surgical releases for unilateral clubfeet

Cited by 7 publications

References 23 publications

Development of Foot Length in Children with Congenital Clubfoot up to 7 Years of Age: A Prospective Follow-Up Study

Development of Foot Length in Children with Congenital Clubfoot up to 7 Years of Age: A Prospective Follow-Up Study

Development of foot length in children with congenital clubfoot up to 7 years of age: a prospective follow-up study

Long-term outcomes of the Ponseti method for treatment of clubfoot: a systematic review

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