Relapse rates following staged surgery in the treatment of recalcitrant talipes equinovarus: 9- to 16-year outcome study

Uglow, M. G.; Senbaga, Needhirajan; Pickard, Richard T.; Clarke, Nicholas

doi:10.1007/s11832-007-0024-6

Cited by 3 publications

(4 citation statements)

References 16 publications

(25 reference statements)

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“…Scher et al (2004) reported that an initial score of > 5.0 on the Pirani scale and grade IV feet according to the Dimeglio system would indicate that the patient will very likely need PAT. In addition, Uglow et al (2007) reported that a higher grade according to the Dimeglio system indicates a high rate of relapse. This indicates that clubfeet with higher scores, according to these 2 scoring systems, are at risk of having residual equinus deformities even after Ponseti manipulation.…”

Section: Discussionmentioning

confidence: 99%

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Predictive factors for residual equinovarus deformity following Ponseti treatment and percutaneous Achilles tenotomy for idiopathic clubfoot

Noh

Park

2013

Acta Orthopaedica

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Background and purpose There is no consensus on how to predict residual equinovarus deformities after application of the Ponseti method. We assessed the prognostic value of clinical scoring systems, and also radiographic parameters that can be measured just before percutaneous Achilles tenotomy (PAT).Method We reviewed 50 cases of clubfoot in 35 patients who were treated using the Ponseti method, including PAT, to analyze the factors that are predictive of residual equinovarus deformities. Mean age at the time of PAT was 2.4 (1.4–3.5) months, and the mean follow-up period was 23 (9–61) months. We divided these cases into 2 groups according to the need for further surgery to treat the residual deformities.Results 40 feet with satisfactory results were included in group 1, whereas the remaining 10 feet that required further surgery for unsatisfactory residual deformities were included in group 2. We compared the initial Dimeglio and Pirani scores obtained before the first Ponseti casting, follow-up Pirani scores, and radiographic parameters determined just before PAT between these 2 groups. There was no statistically significant difference between the groups in terms of the initial Dimeglio and Pirani scores, although the follow-up Pirani scores and lateral tibiocalcaneal angle were higher and the lateral talocalcaneal angle was lower in group 2 at the time of PAT.Interpretation We conclude that the Pirani score, lateral tibiocalcaneal angle, and talocalcaneal angle, when assessed immediately before PAT, might be predictive factors for residual equinovarus deformity following Ponseti treatment for severe idiopathic clubfoot.

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Section: Discussionmentioning

confidence: 99%

“…Although the Pirani and Dimeglio scoring systems (Dimeglio et al 1995, Pirani et al 2008) are widely used for grading the severity of clubfoot deformities and have very good interobserver reliability (Flynn et al 1998), there have been few reports on the prognostic significance of these scores (Scher et al 2004, Dyer and Davis 2006, Uglow et al 2007). …”

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confidence: 99%

Predictive factors for residual equinovarus deformity following Ponseti treatment and percutaneous Achilles tenotomy for idiopathic clubfoot

Noh

Park

2013

Acta Orthopaedica

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“…The average follow-up was 11.5 years and the relapse rate was 76%. 9 Gait analysis has been used by some investigators to try to quantify the results of treatment. A case-control study using this technique compared the outcomes of surgical and non-surgical treatment.…”

Section: Why Do I Need To Know About Clubfoot?mentioning

confidence: 99%

Current management of clubfoot (congenital talipes equinovarus)

Bridgens

Kiely

2010

BMJ

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“…5 However, recurrence of ICTEV can be seen in up to one-fifth of patients who have had successful conservative treatment. 6 A systematic review by Thomas et al reported that the CTEV relapse rate occurs in up to 67.3% of patients and its positive correlation with follow-up duration, which in most studies was limited to up to 5 years. The same review identified varying definitions of "relapse" between studies.…”

Section: Introductionmentioning

confidence: 99%

Genetic Role in Recurrence of Idiopathic CTEV: A Systematic Review

Muhammad¹,

Haryana²,

Magetsari³

et al. 2023

ORR

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Background: Congenital Talipes Equinovarus (CTEV) is a multitude of deformities involving equinus, varus, adductus, and cavus deformities. Clubfoot affects 1 in every 1000 infants born worldwide, with various incidences according to geographical areas. It has been previously hypothesized that the possible genetic role in Idiopathic CTEV (ICTEV) might have a treatment-resistant phenotype. However, the genetic involvement in recurrent ICTEV cases is yet to be determined. Aim: To systematically review existing literature regarding the discovery of genetic involvement in recurrent ICTEV to date to further understand the etiology of relapse. Methods: A comprehensive search was performed on medical databases, and the review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. A comprehensive search was performed on several medical databases: PubMed (MEDLINE), Scopus, the Cochrane Library, and European PMC on May 10, 2022. We included studies reporting patients with recurring idiopathic CTEV or CTEV of unknown cause after treatment, reporting whole-genetic sequencing, whole-exome sequencing, Polymerase Chain Reaction, or Western blot analysis as methods of genetic analysis (intervention) and providing results of idiopathic CTEV genetic involvement. Non-English studies, literature reviews, and irrelevant articles were excluded. Quality and risk of bias assessments were performed using Newcastle-Ottawa Quality Assessment Scale for nonrandomized studies where appropriate. The authors discussed data extracted with the primary outcome of gene(s) frequency being reported of their involvement in recurrent ICTEV cases. Results: Three pieces of literature were included in this review. Two studies analyzed the genetic involvement in CTEV occurrence, while one analyzed the protein types found. Discussion: With included studies of less than five, we could not perform other forms of analysis apart from qualitatively. Conclusion:The rarity of literature exploring the genetic etiology of recurrent ICTEV cases has been reflected in this systematic review, giving opportunities for future research.

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Relapse rates following staged surgery in the treatment of recalcitrant talipes equinovarus: 9- to 16-year outcome study

Cited by 3 publications

References 16 publications

Predictive factors for residual equinovarus deformity following Ponseti treatment and percutaneous Achilles tenotomy for idiopathic clubfoot

Predictive factors for residual equinovarus deformity following Ponseti treatment and percutaneous Achilles tenotomy for idiopathic clubfoot

Current management of clubfoot (congenital talipes equinovarus)

Genetic Role in Recurrence of Idiopathic CTEV: A Systematic Review

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