Talipes Equinovarus and Vertical Talus Produced Experimentally in Newborn Rabbits

Ritsilä, Veijo

doi:10.3109/ort.1969.40.suppl-121.01

Cited by 13 publications

(4 citation statements)

References 79 publications

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“…Some investigators maintain the opinion that equinovarus foot is always the result of neuromuscular defect [5]. On contrary, some studies of histological finding shows no abnormalities or no deformities [6].…”

Section: Neuromuscular Defectmentioning

confidence: 99%

Congenital Clubfoot: A Comprehensive Review

Kumari¹

2017

OROAJ

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Although clubfoot (Congenital talipesequinovarus) is one of the most common congenital abnormalities affecting the lower limb with an incidence of one to two per 1000 live births, it remains a challenge not only to understand its genetic origins but also to provide effective longterm treatment. Its etiology remains aconundrum. It is increasingly being diagnosed on prenatal ultrasound with implications for prenatal counselling. The aim of the treatment is to obtain a painless and functional foot. Conservative treatment with Ponseti method of clubfoot is wellaccepted and has been reported to result in good correction ranging from as low as 50% to as high as 90%. Surgical treatment is indicated only after failure of conservative methods, with limited release also known as "a la carte" release.Objective: The aim of this review is to focus at etiology, clinical assessment, scoring and provides an overview of operative and non-operative treatment options.

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Section: Neuromuscular Defectmentioning

confidence: 99%

Congenital Clubfoot: A Comprehensive Review

Kumari¹

2017

OROAJ

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“…Chemisch-umweltbedingte oder auch mechanische Einflüsse, wie die intrauterine Raumenge gegen Ende der Schwangerschaft, werden als zusätzliche Faktoren benannt [14]. Ritsilä (1969) konnte durch experimentelle Verkürzung der Fuß-und Zehenheber eine Talus-vertikalis-Deformität beim Kaninchen erzeugen. Daraus wurde geschlossen, dass primäre Veränderungen der Muskulatur und der Sehnen für die Entstehung dieser Deformität Bedeutung haben könnten [22].…”

Section: äTiologieunclassified

“…Ritsilä (1969) konnte durch experimentelle Verkürzung der Fuß-und Zehenheber eine Talus-vertikalis-Deformität beim Kaninchen erzeugen. Daraus wurde geschlossen, dass primäre Veränderungen der Muskulatur und der Sehnen für die Entstehung dieser Deformität Bedeutung haben könnten [22]. Eine Pathologie der Muskulatur konnte jedoch in weiteren Untersuchungen, abgesehen von sekundären Deformitäten, wie bei Arthrogrypose oder Spina bifida, nicht bestätigt werden.…”

Section: äTiologieunclassified

Der Talus vertikalis

Raab

2006

Fuß & Sprunggelenk

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“…The long-term goal of treatment is a functional, pain-free, plantigrade foot with good mobility, without calluses and walking with comfortably with nomal shoes [2,3] . Treatment of congenital talipes equinorvarus (clubfoot) begins as soon as possible with serial casting techniques [4] with 20-95% of success rate [5] . However in case of failure of serial casting or reoccurence, or in whom parents seek medical intervention too late, surgical treatment can be performed.…”

Section: Introductionmentioning

confidence: 99%

Study of result of postero medial soft tissue release (PMSTR) in congenital talipes equinus varus (CTEV) children with Pirani score

Patel¹,

Rathod²

2020

Int. J. Orthop. Sci.

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Specific Objectives: Congenital talipes Equinovarus (clubfoot) is most common congenital deformity of foot. It can be treated by PONSETI technique with high rate of success but surgery is indicated for rigid deformities that cannot be corrected by serial casting. In our study, our aim is to assess the outcome of Posteromedial Soft Tissue Release (PMSTR) in child with rigid CTEV by PIRANI score. Material and Methods: Between November 2018 to November 2019, we treated twenty (20) feet with idiopathic CTEV with PMSTR. All children with idiopathic clubfoot will be screened. First trial of CTEV cast will be given upto 3 casts. Child with clubfoot deformity which was not corrected with CTEV cast will be selected. Deformity will be assessed with pre-operative PIRANI score. Blood investigations and clinical examination will be done. Surgically fit child will be posted for POSTEROMEDIAL SOFT TISSUE RELEASE. After operative procedure, correction achieved is measured with immediate postoperative PIRANI score. Then above knee slab is given to patient up to stitch removal (12 days). Then after stitch is removed and above knee POP is applied to maintain correction. Patient is called at hospital at every 15 days. Old cast is removed and correction is assessed with PIRANI score. Below knee POP is applied at every 15 days and PIRANI score is assessed at every 15 days. Parents are encouraged to walk their child with cast. This procedure is followed until satisfactory correction is achieved (Usually 6-8 casts). Results: All 20 feets were treated between 7 months to 48 months age-group children with mean age of 19 months. Postoperatively the patients were followed up for every 15 days upto 6 month and everytime correction is noted with PIRANI score. According to these 20 feet evaluated. Among this, 12 children (60%) having excellent result with final PIRANI score <1. 4 children (20%) having good result with final PIRANI score <2. 4 children (20%) having fair result with final PIRANI score >2. Conclusion: From this study, we conclude that all children with Congenital Talipes Equino Varus (CTEV) deformity should be first treated with casting. All patients with a rigid idiopathic clubfoot should be given casts preoperatively, not with a view to achieve complete correction but only to stretch stretch the soft tissues and decrease the chances of post-operative skin breakdown. One stage Postero-medial soft tissue release is an excellent mode of treatment for those children with CTEV deformity which is not corrected by serial casting.

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Talipes Equinovarus and Vertical Talus Produced Experimentally in Newborn Rabbits

Cited by 13 publications

References 79 publications

Congenital Clubfoot: A Comprehensive Review

Congenital Clubfoot: A Comprehensive Review

Der Talus vertikalis

Study of result of postero medial soft tissue release (PMSTR) in congenital talipes equinus varus (CTEV) children with Pirani score

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