Update on club foot

Garg, Neeraj

doi:10.1016/j.paed.2016.01.008

Cited by 1 publication

(1 citation statement)

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“…In almost half of affected infants, both feet are involved. To date, the causes of clubfoot are poorly understood and regarded as idiopathic; however, genetic factors and associated conditions such as spinal bifida, cerebral palsy, and arthrogryposis have been reported [1, 3, 4].…”

Section: Introductionmentioning

confidence: 99%

An Analysis of the Mechanical Properties of the Ponseti Method in Clubfoot Treatment

Kadhum

Lee

Czernuszka

et al. 2019

Applied Bionics and Biomechanics

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Congenital clubfoot is a complex pediatric foot deformity, occurring in approximately 1 in 1000 live births and resulting in significant disability, deformity, and pain if left untreated. The Ponseti method of manipulation is widely recognized as the gold standard treatment for congenital clubfoot; however, its mechanical aspects have not yet been fully explored. During the multiple manipulation-casting cycles, the tendons and ligaments on the medial and posterior aspect of the foot and ankle, which are identified as the rate-limiting tissues, usually undergo weekly sequential stretches, with a plaster of Paris cast applied after the stretch to maintain the length gained. This triggers extracellular matrix remodeling and tissue growth, but due to the viscoelastic properties of tendons and ligaments, the initial strain size, rate, and loading history will affect the relaxation behavior and mechanical strength of the tissue. To increase the efficiency of the Ponseti treatment, we discuss the theoretical possibilities of decreasing the size of the strain step and interval of casting and/or increasing the overall number of casts. This modification may provide more tensile stimuli, allow more time for remodeling, and preserve the mechanical integrity of the soft tissues.

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Section: Introductionmentioning

confidence: 99%