Principles Involved in the Treatment of Congenital Club-Foot

Kite, J. H.

doi:10.2106/00004623-200309000-00032

Cited by 52 publications

(57 citation statements)

References 4 publications

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“…These types of manipulations often resulted in incomplete corrections as well as iatrogenic deformities. As a result, Kite in 1939 introduced a more gentle method of manipulation that primarily involved serial manipulations and casting [40,41]. Kite attempted to correct each component of the clubfoot deformity separately instead of simultaneously.…”

Section: Treatment Of Clubfootmentioning

confidence: 99%

Update on Clubfoot: Etiology and Treatment

Dobbs

Gurnett²

2009

Clinical Orthopaedics &Amp; Related Research

265

260

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Section: Treatment Of Clubfootmentioning

confidence: 99%

Update on Clubfoot: Etiology and Treatment

Dobbs

Gurnett²

2009

Clinical Orthopaedics &Amp; Related Research

265

260

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“…In early weeks of life (with pliable deformities), the treatment of choice is always conservative. Thus, the manipulation and casting techniques of Kite and Ponseti are commonly used with good outcomes, [1][2][3][4][5][6] but comparison of their long-term outcomes is lacking. The type and duration of treatment depend on the age of patient and severity of deformity.…”

Section: Introductionmentioning

confidence: 99%

Conservative Management of Idiopathic Clubfoot: Kite versus Ponseti Method

Sanghvi

Vk²

2009

J Orthop Surg (Hong Kong)

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Purpose.To compare the long-term results of the Kite and Ponseti methods of manipulation and casting for clubfoot. Methods. 42 patients (with 64 idiopathic clubfeet) were equally randomised to Kite or Ponseti treatments in the early weeks of life. 14 males and 7 females (34 clubfeet) were treated by the Kite method, whereas 13 males and 8 females (30 clubfeet) were treated by the Ponseti method. All the clubfeet were manipulated, casted, and followed up (for a mean of 3 years) by one experienced orthopaedic surgeon. The final results were compared. Results. The success rates for the Kite and Ponseti treatments were similar (79% vs 87%). With the Ponseti method, the number of casts was significantly fewer (7 vs 10); the duration of casting required to achieve full correction was significantly shorter (10 vs 13 weeks); the maximum ankle dorsiflexion achieved was significantly greater (12 vs 6 degrees); and the incidence of residual deformity and recurrence was slightly lower. Conclusion. The Ponseti method can achieve more rapid correction and ankle dorsiflexion with fewer casts, without weakening the Achilles tendon.

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“…Kite explained in his method of correction to abduct the forefoot against pressure at the calcaneocuboid joint which Ponseti described as Kites error. 7 It blocked the correction of hindfoot varus and internal rotation. Ponseti technique has been reported with 92 to 98 % successful results for the treatment of idiopathic clubfoot.…”

Section: Discussionmentioning

confidence: 99%

Management of idiopathic clubfoot with Ponseti technique

2017

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Background: Idiopathic congenital talipes equinovarus (club foot) is a complex deformity that is difficult to correct. The goal of treatment is to reduce or eliminate its four components so that the patient has a functional foot and leads a normal life.Methods: Study have treated 20 patients with 32 idiopathic clubfoot deformities using Ponseti method. The severity was assessed by modified pirani scoring.Results: The mean number of casts that were applied to obtain correction was 7.02 (range four to nine casts). Tenotomy was done in 30 feet. Thirty feet had good results. One patient developed recurrence of the deformity due to non-compliance of the use of orthrotics.Conclusions: The Ponseti method is a safe and effective treatment for congenital idiopathic clubfoot and radically decreases the need for corrective surgery. Non-compliance with orthotics main factor causing failure of the technique.

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Principles Involved in the Treatment of Congenital Club-Foot

Cited by 52 publications

References 4 publications

Update on Clubfoot: Etiology and Treatment

Update on Clubfoot: Etiology and Treatment

Conservative Management of Idiopathic Clubfoot: Kite versus Ponseti Method

Management of idiopathic clubfoot with Ponseti technique

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