Multidisciplinary management of clubfeet using the Ponseti method in a district general hospital setting

Abstract

Early results suggest that a combined consultant/physiotherapist-delivered Ponseti service can be effectively and successfully administered in a district general hospital.

Lateral Tibiocalcaneal Angle As a Determinant for Percutaneous Achilles Tenotomy for Idiopathic Clubfeet

“…There were more patients in group C (unfavorable LTiC angle and favorable ADF angle) than in group B (favorable LTiC angle and unfavorable ADF angle) in our investigation, and it should be pointed out that the decision based on the LTiC angle tended to compel patients to undergo percutaneous Achilles tenotomy. However, percutaneous Achilles tenotomy is also performed in many patients with a favorable ADF angle who show pseudocorrection in the midfoot 9,11 , and the percutaneous Achilles tenotomy rate in the present study was not higher than that in previous studies 5, [19][20][21] . We believe that the use of the LTiC angle as a determinant of the need for percutaneous Achilles tenotomy does not compel patients who do not actually need the procedure to undergo it but helps to obtain a more exact assessment of ankle motion.…”

Perceptions Regarding Medical Management of Clubfoot in Kenya

“…Treatment of clubfoot remains controversial issue regarding the appropriate method to be used (Kampa et al, 2008). Service providers have different perceptions on management of clubfoot.…”

“…Rehabilitation professionals such as physiotherapists are crucial members of the clubfoot management team both in developed and developing countries (Kampa et al, 2008;Shack & Eastwood, 2006). Physiotherapists manage the clubfoot deformity, teach parents/caregivers about clubfoot, the treatment process and the expected outcome (Ireland, 2003).…”

A Literature Review of Non-Surgical Intervention for the Treatment of Idiopathic Talipes Equinovarus: A Podiatric Perspective

“…However the Ponseti method has been extended to other healthcare professionals which has already been trialled successfully in the UK within two separate secondary care settings. 39,40 Kampa, et al, 40 used a multidisciplinary team comprising of junior doctors, physiotherapists, nurses and plaster technicians or orthotists. They concluded that the combined approach of a multidisciplinary team and a surgeon when necessary was a success.…”

“…As parent education is key to the treatment's success, having podiatrists available close to home for mid week visits to respond to problems when they arise is likely to reduce the long waiting times in out patients departments which is already a problem cited by both Docker, et al, 39 and Kampa, et al, 40 Docker, et al, also suggested that the earlier intervention of the multidisciplinary team reduced the number of tenotomies required, again cutting the overall healthcare costs.…”