Treatment of idiopathic congenital clubfoot using the Ponseti method: ten years of experience

Lara, Luiz Carlos Ribeiro; Neto, Delmo João Carlos Montesi; Prado, Fagner Rodrigues; Barreto, Adonai Pinheiro

doi:10.1016/j.rboe.2013.01.001

Cited by 15 publications

(22 citation statements)

References 31 publications

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“…Over the past decade, conservative management has been wildly used to correct the clubfoot deformity than surgical management. Ponseti method is consists of weekly gentle manipulation and followed by application of serial long leg casting [56]. In this method, casting should be changed every 5 to 7 days (Fig.…”

Section: Ponseti Methodsmentioning

confidence: 99%

Current conservative management and classification of club foot: A review

Ganesan

Luximon

Al-Jumaily

2016

PRM

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Clubfoot, known as congenital talipes equinovarus, is one of the complex paediatric foot deformity with the incidence of 1 in every 1000 live births. It consists of four complex foot abnormalities such as forefoot adductus, midfoot cavus, and hindfoot varus and ankle equinus. There are a number of surgical techniques (soft tissue releases, arthrodesis) used to correct clubfoot. However currently the conservative management (manipulation, serial casting, and braces) of clubfoot is considered as the best choice and it is widely accepted among orthopaedists. Clubfoot treated with surgical techniques might suffer various complications such as soft tissues contractures, neurovascular complications, infections, and shortening of the limbs. Although conservative method is generally considered as an effective method, it is still challenging to cure clubfoot in advance stages. Also, the classification of the initial severity of clubfoot is essential to evaluate the outcome of the treatment. In this review, the aim is to review the different types of conservative method and the assessment of clubfoot severity.

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Section: Ponseti Methodsmentioning

confidence: 99%

Current conservative management and classification of club foot: A review

Ganesan

Luximon

Al-Jumaily

2016

PRM

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“…[7][8] Nonetheless, the true cause of CTEV remains unknown. 9 As reported previously, treatment is generally unaffordable for the families. 10 Since the inception of 'Walk for Life' at Mymensingh Medical College Hospital (MMCH) in 2011, 634 children were treated with Ponseti method, to end 2014.…”

Section: Introductionmentioning

confidence: 80%

Outcome of Clubfoot Correction at ‘Walk for Life’ Clinic of Mymensingh Medical College Hospital: A Four Year Review

Rahman

Chowdhury

Kabir³

et al. 2019

Bangladesh Med Res Counc Bull

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Background: Every year in Bangladesh an estimated 3500 - 4000 children are born with a clubfoot deformity, which is approximately one of every 1000 children born in Bangladesh. Left untreated, the condition leads to lifelong deformity causing individual disability and potential unproductivity. Affected children grow up as burden to the family and ultimately leads to significant poverty. Methods: This study was conducted at the ‘Walk for Life’ (WFL) clinic Mymensingh Medical College Hospital (MMCH) during February 2011 to December 2014.The non-surgical Ponseti method was applied by the orthopaedic surgeon and physiotherapist. Follow-up for relapsed deformity in children who were treated in 2011 occurred in 2015. Results: A total of 577 children comprised of 175 (30.32%) female and 402 (69.7%) male, a gender rati o F: 2.29 M. Completions of treatment data were available for 471 children, as 106 had dropped out at different stages of the treatment cycle. Sadly, 12 children had died. In 440 (76.4%) children, the parents’ monthly income approximated Tk. 5000, and 364 (82.8%) lived in tin shed houses. The parents with lowest incomes predominated for children with clubfoot. Most parents 383(66.4%) were labourers, small business and service workerswith the lowest income. A family history of clubfoot deformity was found in 8.3%, of which 2.8% were cousins, 1.7% were an uncle.The average number of corrective plaster casts applied before the tenotomy was 3.32% in 477 children. In 73.0% of childrenthree to six casts were used for initial correction. An Achilles tenotomy was performed in 81.0% children, 18% did undergo a tenotomy and one child had multiple tenotomies.Four years following of initial treatment, 99 children were reviewed, and 98 were walking and running. Parents’ satisfaction was 96.0%. Thirteen percent children showed relapse signs. Most of the children treated at the WFL clubfoot clinic were walking normally four years after initial treatment. Conclusion: The Ponseti method is found to be very effective and especially for a developing country like Bangladesh. Poverty and housing condition may play a role in clubfoot disease. The dropout rate across the treatment cycle was 18.4%, warranting closer evaluation. The patronage of the Glencoe Foundation WFL clinics since 2009, played an important role in relieving thousands of Bangladeshi children from disability. Bangladesh Med Res Counc Bull 2018; 44: 132-137

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“…Entretanto, é tratável mediante a Técnica de Ponseti (MOSCA, 2010). A correção da deformidade pela técnica evita cirurgias e tem sido apontada como a de maiores benefícios, com implicações positivas sobre a qualidade de vida das crianças que possuem o agravo (WENGER et al, 1989;MARANHO et al, 2010;MARANHO;VOLPON, 2011;LARA;MONTESE NETO;PRADO, 2013;TENENBAUM et al, 2013).…”

Section: Discussionunclassified

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

Cunha¹,

Souza

Sousa

et al. 2019

R. bras. Qual. Vida

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OBJETIVO: Analisar a contribuição da técnica de Ponseti para a qualidade de vida de crianças portadoras do pé torto congênito.MÉTODOS: A elaboração do trabalho foi realizada através de uma revisão sistemática da literatura, utilizando-se como descritores em Ciência da Saúde (DeCS) (português): pé torto congênito, qualidade de vida, técnica de Ponseti; e os medical subject headings (MeSH) (inglês): congenital biceps foot, quality of life e Ponseti technique. Foram selecionados artigos nas bases de dados: Public Medicine (Pubmed), Scientific Electronic Library Online (SciELO), Medical Literature Analysis and Retrievel System Online (MEDLINE) e Biblioteca Virtual de Saúde (BVS). Os artigos selecionados foram analisados quanto ao título, ao ano, à formação e ao tema principal. A pesquisa compreendeu artigos publicados entre 2013 e abril de 2018. Foram identificados 110 artigos, dos quais foram selecionados 30 artigos que se encaixaram nos critérios de inclusão.RESULTADOS: A partir dos estudos analisados, observou-se que 83,3% destes apontaram eficácia elevada no tratamento do pé torto congênito de crianças por meio da técnica de Ponseti associada a uma melhora na qualidade de vida.CONCLUSÕES: A técnica de Ponseti é altamente eficaz para correção da deformidade e propicia melhoria da qualidade de vida das crianças que são portadoras da patologia.

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Treatment of idiopathic congenital clubfoot using the Ponseti method: ten years of experience

Cited by 15 publications

References 31 publications

Current conservative management and classification of club foot: A review

Current conservative management and classification of club foot: A review

Outcome of Clubfoot Correction at ‘Walk for Life’ Clinic of Mymensingh Medical College Hospital: A Four Year Review

Qualidade de vida de crianças com pé torto congênito e a técnica de Ponseti

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