What a paediatrician should know about congenital clubfoot

Dibello, Daniela; Carlo, Valentina Di; Colin, Giulia; Barbi, Egidio; Galimberti, Anna Maria Chiara

doi:10.1186/s13052-020-00842-3

Cited by 4 publications

(4 citation statements)

References 9 publications

(15 reference statements)

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“…2 Additionally, when asked which approach of clubfoot management the Ponseti technique and preferred surgery 57.6 percent of participants chose Ponseti technique, where as 19.3 percent chose the surgery. 3 Our findings revealed that 1.2% of the respondents were unsure about the ideal timing to begin clubfoot treatment. 32.8 percent of participants said it was ideal to begin therapy between 6 and 12 months, while 37.7 percent said it should be given before the age of six months.…”

Section: Discussionmentioning

confidence: 67%

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Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

Sadiq,

Khan,

Hassan

2023

PJMHS

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Background: With early attention, clubfoot is a disorder that can be treated and managed. However, a lack of knowledge regarding clubfoot among the general public may result in a delay in receiving treatment. Methods: This cross-sectional study was conducted with survey poll included Hazara Division (Abbottabad, Mansehra, Haripur, Battagram, Upper Kohistan, Kolai-Palas, Lower Kohistan) residents and lasted six-months, from June 2022 to December 2022. The population of this study was the all participants who faced the issues of prognosis, and clubfoot and online survey was created by orthopedic specialists to gather information on the public knowledge of treatment options, prognosis, and clubfoot risk factors. Regardless of whether they were familiar with someone who had clubfoot, the target demographic was made up of persons from all age groups and both sexes in the general community. A team of orthopaedic specialists created a questionnaire to gather information on the general public's knowledge of clubfoot risk factors, treatments, and prognoses. Pilot research using the sample of the 80 individuals who aren’t the part of main study was used to undertake initial evaluation of the questionnaire. Based on the comments from pilot test, questionnaire was modified. The data was obtained from selected participants and data was analyzed in SPSS. Results: The online survey was finished by 746 individuals by the end of the research period from June 2022 to December 2022. A total of 520 respondents (69.7%) said they were unaware of clubfoot syndrome. 40 (5.4%) participants had a child having clubfoot syndrome, and the 34 (4.6 percent) were informed of the clubfoot since they themselves had a child with condition. Social media platforms were the most often used resource by respondents 284 (38.1%) for learning about clubfoot, followed by family and friends 148 (19.9 percent). Hereditary and genetic problems 435 (58.4%) and neurological abnormalities were the most commonly cited causes of clubfoot 297 (39.9 percent). Practical implication: The current study was employed to determine how well the general population understood clubfoot and the benefits of early therapeutic intervention. Conclusions: The findings indicate that there is little awareness of the clubfoot, which may be a result of a dearth of awareness programmes. In order to encourage patients to seek early treatment, we advise raising awareness of clubfoot using social media and open campaigns in the strategic locations, such as malls. This is vital since earlier treatment of the clubfoot is less intrusive and the results in the better patient’s results when accompanied with regular follow-up. Keywords: Awareness, Clubfoot, Perception, Congenital deformity, Foot deformity, Talipes equinovarus

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Section: Discussionmentioning

confidence: 67%

“…However, delaying the problem's treatment makes it difficult to offer non-surgical care. 3 The mainstream of clubfoot diagnoses are made clinically; radiography was not always necessary. Additionally, prenatal diagnosis can be performed using ultrasonography.…”

Section: Introductionmentioning

confidence: 99%

Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

Sadiq,

Khan,

Hassan

2023

PJMHS

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“…[3] . The overall incidence of 1 in 1000 live births [3,5] . Eighty percent of the time, clubfoot is the only visible abnormality [1,3] .…”

Section: Discussionmentioning

confidence: 99%

A study on accelerated Ponseti method for correction of congenital talipes equinovarus and evaluation of results

Rao,

Gumma,

Sharique

2023

Nat. J. Clin. Orthop.

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Introduction: One of the most prevalent types of birth defects affecting the lower limb is talipes equinovarus, which is present from birth. It is characterized by ankle going into equines, hind foot going into Varus, forefoot into adductus and mid-footcavus. Its incidence is estimated to be about 1-2 in every 1000 live births and male child being more commonly effected than female child (with male: female ratio of 2:1) more commonly being bilateral. Correction of congenital talipes equinovarus with the Ponseti approach of weekly manipulation of the deformity followed by lengthy leg cast is successful, minimally intrusive, and affordable. Except for the horses, the deformity can be fixed in four to five weeks. Reducing the length of time a kid is in correction is necessary to ease the child's and family's physical, mental, and financial suffering. Morcuende et al. and Xu created faster and modified protocols that take just 5 days to fix the foot, and they discovered that the outcomes were comparable to the standard technique. The purpose of this dissertation is to evaluate the efficacy of the accelerated Ponseti technique in the treatment of idiopathic congenital talipes equinovarus, as well as the risks and benefits of this procedure. Aim of the study:The purpose of this study is to evaluate the efficacy of the accelerated PONSETI method in the correction of idiopathic congenital talipes equinovarus in children less than 2 years of age. Materials and Methods:The study was provisionally approved by the institutional ethics committee, Andhra medical College, Visakhapatnam. Children under the age of two years who were diagnosed with idiopatic clubfoot and treated with the accelerated ponseti method at king george hospital between august 2020 and august 2022 were evaluated in this prospective group study. Conclusion:The Ponseti method for correction of clubfoot is known to be the standard treatment regimen in clubfoot. In our study we have investigated the shorter regimen of modified accelerated Ponseti technique that uses the ponseti method with a modification of twice weekly casting instead of the standard once weekly changing of the casting. There was no need for major soft tissue release treatments to rectify the abnormality in any of the youngsters. Parents reported no complaints about their children's ability to walk normally after getting treatment. There were complications in few cases like pressure sore and relapses in 10% of cases that were tackled effectively with our treatment regimen. There were no other complications such as the cast associated skin allergies, cast loosening, swelling of foot and toes, vascular compromise, rocker-bottom foot, post Tenotomy neurovascular damage and wound infections. It was found that the duration required for correction is shortand all the patients have shown good compliance to the treatment regimen. Patients who have idiopathic CTEV and who are compliant with treatment show that the accelerated Ponseti method is just as safe, easy, effective, and efficient as the stand...

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“…If left untreated, the deformity will persist into adulthood and severely impair life quality [ 219 ]. Dibello et al elucidated that early recognition of the deformity and immediate referral to the orthopedic specialist are the key elements for effective treatment [ 220 ]. If clubfoot was detected, a local orthopedic surgeon should be contacted to establish prompt referral to a clubfoot center, preferably within 48 h but no longer than 1 week after delivery.…”

Section: Introductionmentioning

confidence: 99%

Developments in pediatrics in 2020: choices in allergy, autoinflammatory disorders, critical care, endocrinology, genetics, infectious diseases, microbiota, neonatology, neurology, nutrition, ortopedics, respiratory tract illnesses and rheumatology

et al. 2021

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What a paediatrician should know about congenital clubfoot

Cited by 4 publications

References 9 publications

Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

Assessing Public Awareness of the Knowledge and Clubfoot about the Importance of the Treatment of Early Childhood

A study on accelerated Ponseti method for correction of congenital talipes equinovarus and evaluation of results

Developments in pediatrics in 2020: choices in allergy, autoinflammatory disorders, critical care, endocrinology, genetics, infectious diseases, microbiota, neonatology, neurology, nutrition, ortopedics, respiratory tract illnesses and rheumatology

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