Surgical treatment of neglected congenital idiopathic talipes equinovarus after walking age in Eritrea: an Italo-Eritrean cooperation

Faldini, Cesare; Prosperi, L; Traina, Francesco; Nanni, Matteo; Tesfaghiorghi, S.; Tsegay, S.; Yosief, M.; Pungetti, Camilla; Sanzarello, Ilaria

doi:10.1007/s12306-016-0398-z

Cited by 7 publications

(10 citation statements)

References 33 publications

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“…The most common length of time was 2 weeks (11 articles, 39%) [ 21 , 26–28 , 36 , 37 , 41 , 45 , 46 , 48 ]. 9 articles did not specify the length of the trip (14%) [ 12 , 18 , 29 , 34 , 39 , 41 , 44 , 47 , 49 ]. 20 articles (69%) describe short-term trips that are recurring (return to the same location more than once) either annually, biannually, or at an unspecified periodicity [ 12 , 21 , 26–32 , 34–37 , 39 , 41 , 44 , 46 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

International pediatric surgery partnerships in sub-Saharan Africa: a scoping literature review

Woods

Shofner

Hodge

2022

Global Health Action

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Background Sub-Saharan Africa (SSA) faces a critical shortage of pediatric surgical providers. International partnerships can play an important role in pediatric surgical capacity building but must be ethical and sustainable. Objective The purpose of this study is to perform a scoping literature review of international pediatric surgery partnerships in SSA from 2009 to 2019. We aim to categorize and critically assess past partnerships to aid in future capacity-building efforts. Methods We performed a scoping literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. We searched the PubMed and Embase databases for articles published from 2009 to 2019 using 24 keywords. Articles were selected according to inclusion criteria and assessed by two readers. Descriptive analyses of the data collected were conducted in Excel. Results A total of 2376 articles were identified. After duplicates were removed, 405 articles were screened. In total, 83 articles were assessed for eligibility, and 62 were included in the review. The most common partnership category was short-term surgical trip (28 articles, 45%). A total of 35 articles (56%) included education of host country providers as part of the partnership. Only 45% of partnerships included follow-up care, and 50% included postoperative outcomes when applicable. Conclusions To increase sustainability, more partnerships must include education of local health-care providers, and short-term surgical trips must be integrated into long-term partnerships. More partnerships need to report postoperative outcomes and ensure follow-up care. Educating peri-operative providers, training general surgeons in common pediatric procedures, and increasing telehealth use are other goals for future partnerships.

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Section: Resultsmentioning

confidence: 99%

International pediatric surgery partnerships in sub-Saharan Africa: a scoping literature review

Woods

Shofner

Hodge

2022

Global Health Action

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“…Previous studies in LMICs have shown comparable results for the outcome after PMR surgery [12,27,28]. Faldini et al have followed two cohorts in Eritrea (2-to 5-year-old) and Tanzania (6-to 9-year-old) who underwent a soft tissue intervention combined with a cuboid subtraction osteotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Faldini et al have followed two cohorts in Eritrea (2- to 5-year-old) and Tanzania (6- to 9-year-old) who underwent a soft tissue intervention combined with a cuboid subtraction osteotomy. Patients had good to excellent outcome based on the Laaveg-Ponseti score in respectively 91% in Eritrea after an average follow-up time of two years [ 28 ] and in 79% of the cases in Tanzania after an average follow-up time of five years [ 12 ]. Hoque et al operated on two cohorts between the ages of six months and 16 years with PMR without additional bony interventions.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a surgical treatment algorithm for neglected clubfoot in low-resource settings

Pigeolet

Imam²,

Ninulescu

et al. 2021

International Orthopaedics (SICOT)

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Purpose Idiopathic clubfoot affects approximately 1/1000 alive-born infants, of whom 80–91% are born in low- or middle-income countries (LMICs). This retrospective study aimed to evaluate the morphological, functional, and social outcomes in patients with neglected clubfoot in rural Bangladesh, after receiving surgical treatment. Methods Patients received a posteromedial release (PMR) with or without an additional soft tissue intervention (group 1), a PMR with an additional bony intervention (group 2), or a triple arthrodesis (group 3) according to our surgical algorithm. Patients were followed until two year post-intervention. Evaluation was done using a modified International Clubfoot Study Group Outcome evaluation score and the Laaveg-Ponseti score. Results Twenty-two patients with 32 neglected clubfeet (ages 2–24 years) received surgical treatment. Nineteen patients with 29 clubfeet attended follow-up. At two year follow-up an excellent, good, or fair Laaveg-Ponseti score was obtained in 81% (group 1), 80% (group 2), and 0% (group 3) of the patients (p value 0.0038). Age at intervention is inversely correlated with the Laaveg-Ponseti score at two year follow-up (p < 0.0001). All patients attended school or work and were able to wear normal shoes. Conclusion Our treatment algorithm is in line with other surgical algorithms used in LMICs. Our data reconfirms that excellent results can be obtained with a PMR regardless of age. Our algorithm follows a pragmatic approach that takes into account the reality on the ground in many LMICs. Good functional outcomes can be achieved with PMR for neglected clubfoot. Further research is needed to investigate the possible role of triple arthrodesis.

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“…Patients frequently present after optimal age of treatment described by Ponseti that is two years. At this time most orthopedic surgeons feel reluctant to treat these feet conservatively and resort to surgery, which is expensive and has complications [17][18][19]1,16 .…”

Section: Introductionmentioning

confidence: 99%

Success of Ponseti Method in Idiopathic Club Feet of <2 Years and 2-5 years of age – A Comparative Study

Lin¹,

Saeed²,

Hussain³

et al. 2021

PJMHS

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Background: The Ponseti technique is the gold standard for treatment of clubfoot. However, the data in walking children is still limited and results are ill defined. Aim: We prospectively compared Ponseti method in clubfoot patients aged <2 and between 2 to 5 years in our local scenario. Methods: A total of 40 patients were included in the study through non-probability purposive sampling. The patients were examined, classified (Goldner and Fitch classification) and demographic information was recorded. They were explained about the risk and informed consent was taken. In group A, patients were below 2 years of age while in group B, patients were between 2-5 years of age. Ponseti casting was performed by a designated team. Follow-up was done for 6 months from the correction of feet. Results: We received 27(67.5%) male and 13(32.5%) female patients .The male to female ratio was 2:1. The mean age of patients in group A and B was 0.8±0.70 years and 4.3±2.1 years respectively. There was no statistical difference of severity of deformity of clubfoot in both study groups, p-value>0.05. In group A, 17 (85%) patients had success of procedure while in group B the success was achieved in 11 (55%) patients. The success rate was statistically significantly higher in group-A as compared to group B, p-value<0.001 Conclusion: Patient aged <2 years have significantly higher success rate as compared to patients aged between 2-5 years. So we recommend the Ponseti method as standard therapy in clubfoot management for patients with age<2 years and for correction of mild and moderate deformities in patients between 2 to 5 years. Keywords: Clubfoot, Congenital talipes equinovarus, Ponseti method

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Surgical treatment of neglected congenital idiopathic talipes equinovarus after walking age in Eritrea: an Italo-Eritrean cooperation

Cited by 7 publications

References 33 publications

International pediatric surgery partnerships in sub-Saharan Africa: a scoping literature review

International pediatric surgery partnerships in sub-Saharan Africa: a scoping literature review

Evaluation of a surgical treatment algorithm for neglected clubfoot in low-resource settings

Success of Ponseti Method in Idiopathic Club Feet of <2 Years and 2-5 years of age – A Comparative Study

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