Magnetic Resonance Imaging Study of the Congenital Clubfoot Treated With the Ponseti Method

Pirani, Shafique; Zeznik, Laura; Hodges, David

doi:10.1097/01241398-200111000-00004

Cited by 108 publications

(95 citation statements)

References 11 publications

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“…The manipulations are performed in a specific sequence to enable reduction of the subtalar joint and the talonavicular joint without undue force being applied to the neonate's foot. This concept has been confirmed in an MRI analysis of clubfeet treated by the Ponseti method [9].…”

Section: Discussionmentioning

confidence: 69%

What Proportion of Patients Need Extensive Surgery After Failure of the Ponseti Technique for Clubfoot?

Willis

Al-Hunaishel

Guerra

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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In 1948, Professor Ignacio Ponseti began a nonoperative management form of treatment for severe talipes equinovarus. This method of manipulative treatment became attractive because long-term outcomes demonstrated the majority of feet were pain-free, plantigrade, and functioning at a high level of activity without evidence of degenerative arthrosis. We retrospectively reviewed the charts of 51 children (31 boys and 20 girls; 72 feet) with idiopathic clubfeet deformity treated with the Ponseti method

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Section: Discussionmentioning

confidence: 69%

What Proportion of Patients Need Extensive Surgery After Failure of the Ponseti Technique for Clubfoot?

Willis

Al-Hunaishel

Guerra

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…We observed a difference between the two series and between the first series and the normal feet. A recent MRI study showed an improvement in the declination angle of the neck of the talus in infant clubfeet treated with the Ponseti method [15]. It is likely the Ponseti manipulative technique may straighten the angle of the neck of the talus by the pressure exerted by the laterally stretched navicular on the head and the neck of the talus (Figs.…”

Section: Discussionmentioning

confidence: 99%

CT Study on the Effect of Different Treatment Protocols for Clubfoot Pathology

Farsetti

Maio

Russolillo

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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In congenital clubfoot, residual deformities are not well-documented and they may change depending on different treatments. To identify the treatment that provides better outcome at maturity, we studied the computed tomography of two cohorts of patients affected with congenital clubfoot who were treated using two distinct protocols. Forty-seven clubfeet were treated according to the traditional protocol of our hospital and 61 were treated according to the Ponseti technique. The normal feet of the unilateral deformities served as controls. All patients were followed to skeletal maturity. The ankle torsion angle and the declination angle of the neck of the talus were higher than normal but different only in patients treated with the traditional method. The calcaneocuboid angle was lower but only in patients treated with the Ponseti method. The shape of the talar joints was altered in many feet regardless of protocol. The CT images suggest the modifications of the torsion angle of the ankle, the declination angle of the neck of the talus, and the calcaneocuboid angle at maturity are related to the treatment protocol followed. The Ponseti manipulative technique provided better anatomical results in comparison to our traditional technique.

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“…The talus presents morphological malformation, and the neck is angulated medially and plantarly, in comparison to a normal foot. 12,17,18,20,28,29,50,52 Moreover, the talar neck is shortened and, in some cases, absent 28 . The calcaneus is directed medially on the horizontal plane, 3,50 in equinus, adduced and inverted, with the anterior tuberosity facing the lateral malleolus and under the talar head (varus).…”

Section: Pathological Anatomymentioning

confidence: 99%

“…The calcaneus is directed medially on the horizontal plane, 3,50 in equinus, adduced and inverted, with the anterior tuberosity facing the lateral malleolus and under the talar head (varus). 18,20,[51][52][53][54][55] In more severe cases, there is medial angulation of the long axis of calcaneus. 20,28 The navicular is in extreme inversion, medialized and displaced over the talar head 12,52,54 so as to articulate with the medial portion of the talar head, and is not infrequently in contact with the medial malleolus.…”

Section: Pathological Anatomymentioning

confidence: 99%

“…18,20,[51][52][53][54][55] In more severe cases, there is medial angulation of the long axis of calcaneus. 20,28 The navicular is in extreme inversion, medialized and displaced over the talar head 12,52,54 so as to articulate with the medial portion of the talar head, and is not infrequently in contact with the medial malleolus. 18,20,28,50,56 The cuboid is displaced medially in relation to the calcaneus.…”

Section: Pathological Anatomymentioning

confidence: 99%

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Pé torto congênito

Maranho

Volpon

2011

Acta ortop. bras.

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The clubfoot is one of the most common congenital deformities affecting the lower limbs, it still presents controversial aspects regarding etiology and treatment. In spite of its relatively high frequency, the treatment is still challenging, since the long-term aim is achieving an everlasting flexible, plantigrade, pain-free and totally functional foot. The Ponseti method has gained attention and popularity because of its satisfactory results and surgery avoidance. Presently, surgical treatment is indicated only after failure of conservative methods, avoiding extensive soft-tissue release, but performing localized corrections of the deformities, a technique also know as "a la carte" release. The future perspective is based on the knowledge about long-term results and new understanding of the clubfoot etiology, especially in the genetic field, which may eventually be helpful for prognostic and treatment. Level of Evidence: Level II, systematic review.

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Magnetic Resonance Imaging Study of the Congenital Clubfoot Treated With the Ponseti Method

Cited by 108 publications

References 11 publications

What Proportion of Patients Need Extensive Surgery After Failure of the Ponseti Technique for Clubfoot?

What Proportion of Patients Need Extensive Surgery After Failure of the Ponseti Technique for Clubfoot?

CT Study on the Effect of Different Treatment Protocols for Clubfoot Pathology

Pé torto congênito

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