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Zeitschriftenartikel zum Thema „CTEV“

Autor: Grafiati

Veröffentlicht am 29. Juni 2021

Zuletzt aktualisiert am 1. Februar 2022

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1

Irfannuddin, Irfannuddin, Nur Rachmat Lubis und Febian Aji Wicaksono. „Evaluation of CTEV Management in Children's Walking Ability Assessed by "BANGLA" Club Foot Tool Score System“. Bioscientia Medicina : Journal of Biomedicine and Translational Research 4, Nr. 1 (01.01.2020): 48–57. http://dx.doi.org/10.32539/bsm.v4i1.113.

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Abstract Congenital talipes equinovarus (CTEV) or clubfoot is a congenital deformity that involves an abnormal position of the calcaneonaviculare complex. "Bangla clubfoot tool score system" is an assessment that indicates the effectiveness of CTEV management. The purpose of this study was to evaluate the management of CTEV on children's ability to walk as assessed by the Bangla clubfoot tool score system. A cross sectional study was conducted at the Hospital Dr. Mohammad Hoesin Palembang. There were 24 CTEV patients who received CTEV management before the age of 3 years and were not associated with a neurological disorder. A comparison of the average total Bangla clubfoot score tool system was analyzed by assessing parental satisfaction, walking ability and clinical examination. The majority of CTEV patients were women (58.3%) with and mostly being treated before 1 year old (79.2%). The most types of CTEV were bilateral (70.8%), and most of them performed surgery (66.7%). Assessment with the Bangla clubfoot tool system shows that the level of parental satisfaction is sufficient, gait is good, but physical foot examination is poor (20%). The score is influenced by age at first therapy and compliance using the brace. Parents must continue to support their children to undergo integrated management after therapy to maintain their walking ability.

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Laud, N., B. B. Joshi und S. S. Warrier. „Correction of CTEV by Jess“. Journal of Pediatric Orthopaedics B 6, Nr. 4 (Oktober 1997): 293. http://dx.doi.org/10.1097/01202412-199710000-00048.

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Baruah, Prabahita, Pradipta Ray Choudhury und K. L. Talukdar. „Study of congenital talipes equinovarus cases and its radiological correlation“. National Journal of Clinical Anatomy 02, Nr. 03 (Juli 2013): 134–39. http://dx.doi.org/10.1055/s-0039-3401715.

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Abstract Background and aims : congenital talipes equinovarus (CTEV) or club foot is one of the most common congenital orthopaedic anomalies and is increasing day by day with the growing millions of this country. However, it still continues to challenge the skills of the surgeons as it has a notorious tendency to relapse. Part of the reason behind its relapse is the failure to recognize the underlying pathoanatomy. Again the controversy regarding the radiographic parameter which best represents the deformity of club foot still continues. However, the talocalcaneal angle in both AP (anterior-posterior) and lateral view is considered as the best parameter to diagnose a case of CTEV radio graphically. The aim of the study is to study the cases of CTEV and their radiological correlation. Materials and methods : Sixty cases of CTEV attending the orthopaedic OPD, Gauhati Medical College were taken for study. Clinical history, photographs and radiographs (X-rays) of these cases were taken. Results and observations : out of 60, 63.3% cases were male, 43.3% cases were bilateral, 36.04% cases showed the talocalcaneal angle (AP view) ranging 260 - 300. Conclusion : The talocalcaneal angles, in both, AP (anterior-posterior) and a lateral view, in a normal foot is more than 35 degrees, but in CTEV these are reduced. Functional anatomy of CTEV is a prerequisite for achieving an aligned and supple foot with a good prognostic value.

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Todd, Maya Rani Louise Chandra, Stephen Sikaveke Kodovaru, Georgia Antoniou und Peter J. Cundy. „Clubfoot deformity in the Solomon Islands: Melanesian versus Polynesian ethnicity, a retrospective cohort study“. Journal of Children's Orthopaedics 14, Nr. 4 (01.08.2020): 281–85. http://dx.doi.org/10.1302/1863-2548.14.190172.

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Purpose Congenital talipes equinovarus (CTEV) has a high incidence in the South Pacific, with New Zealand Maori and Polynesian rates of up to seven per 1000 live births, at least five times higher than the Caucasian population. A genetic component is suggested to explain this, however, there is little information regarding the difference of incidence between Polynesian and Melanesian ethnicity in the South Pacific. Our aim was to investigate the effects of ethnicity on the incidence of CTEV in the Solomon Islands, specifically comparing Melanesian and Polynesian ethnicity. Methods Between 2011 and 2017, data was collected in the Solomon Islands from over 40 clinics upon introduction of the Ponseti programme for treatment of CTEV. Records were kept using the validated Global Clubfoot Initiative data form. Ethnicity was documented, including family history. Results In total, 138 children presented during this period, with 215 affected feet reviewed and treated. In all, 74% of children had solely Melanesian parents and 6% Polynesian. Using the general population ethnic breakdown of 95.3% Melanesian and 3.1% Polynesian, the odds of CTEV in children of Melanesian parents were 0.41 times lower compared with the odds in children of Polynesian parents. Conclusion The results indicate that in the Solomon Islands, CTEV in Melanesian children was less than half as likely to occur in Polynesian children. Our findings also support the theories of minimal Polynesian genetic material persisting in the Solomon Islands and a different genetic risk of CTEV between Polynesians and Melanesians. Level of Evidence III

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Sananta, Panji, Tita Hariyanti, Ledy Kumala Devi, I. Gusti Ngurah Arga Aldrian Oktafandi und Felix Cendikiawan. „Determining Reasons Affecting the Late Treatment of Congenital Talipes Equinovarus: A Qualitative Study“. Global Journal of Health Science 13, Nr. 10 (13.09.2021): 91. http://dx.doi.org/10.5539/gjhs.v13n10p91.

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BACKGROUND: Neglected congenital talipes equinovarus (CTEV) is a serious problem commonly found in developing countries. This deformity has fatal impacts, including disabilities and educational limitations. Moreover, cases of neglected CTEV are still frequent in Indonesia as one of the developing countries. Thus, this study aims to investigate the reasons behind the late treatment of CTEV. METHODS: This is a qualitative study conducted throughout September 2019. The subjects are six parents of patients with neglected CTEV who are currently being treated in our hospital. The study was conducted by performing an in-depth interview with the patient’s parents to analyze why they delay checking their child to an orthopaedic surgeon. The results were then grouped into themes. RESULTS: The reasons for the delay were multifactorial. Four subjects had more than one reason why they delayed checking their child to an orthopaedic surgeon. The reason for the delay were socioeconomic factors (3 subjects), medical-related problems (3 subjects), intentionally delayed or refused to seek medical care (2 subjects), and misinformation from the previous physician (3 subjects). CONCLUSIONS: The reasons for the late treatment of CTEV were socioeconomic factors, medical-related problems, intentional factors, and misinformation.

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Saif Ullah, Md, Kazi Md Noor-ul Ferdous, Md Shahjahan und Sk Abu Sayed. „Management of Congenital Talipes Equino Varus (CTEV) by Ponseti Casting Technique in Neonates: Our Experience“. Journal of Neonatal Surgery 2, Nr. 2 (28.03.2013): 17. http://dx.doi.org/10.47338/jns.v2.29.

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Objective: The purpose of this study is to evaluate the results of Ponseti technique in the management of congenital Talipes Equino Varus (CTEV) in neonatal age group.Methods: It is a prospective observational study, conducted during the period of July 2010 to December 2011 at the Department of Pediatric Surgery in a tertiary hospital. All the neonates with CTEV were treated with Ponseti casting technique. Neonates with other congenital deformities, arthrogryposis and myelomeningocele were excluded.Results: Total 58 CTEV feet of 38 neonates were treated. Twenty six were males and 12 were females. Thirty seven (63.8%) feet were of rigid variety and 21(36.2 %) feet were of non-rigid variety. Twenty patients had bilateral and 18 had unilateral involvement. Mean pre-treatment Pirani score of study group was 5.57. Mean number of plaster casts required per CTEV was 3.75 (range: 2-6). Thirty five rigid and 15 non-rigid (total 86.2%) feet required percutaneous tenotomy. Out of 58 feet 56 (96.6%) were managed successfully. Three (5.2%) patients developed complications like skin excoriation and blister formation. Mean post-treatment Pirani score of the study group was: 0.36 ± 0.43.Conclusion: The Ponseti technique is an excellent, simple, effective, minimally invasive, and inexpensive procedure for the treatment CTEV deformity. Ideally it can be performed as a day case procedure without general anesthesia even in neonatal period.

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Paton, R. W., und C. S. B. Galasko. „Accurate structural assessment of idiopathic CTEV“. Foot 1, Nr. 2 (Juli 1991): 71–73. http://dx.doi.org/10.1016/0958-2592(91)90033-8.

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Gupta, Sanjeev, Farooq Bhutt, Manoj Kumar und Maneer Ahmad. „Outcome of treatment with modified Ponseti technique in atypical congenital talipes equinovarus“. International Journal of Research in Medical Sciences 9, Nr. 1 (28.12.2020): 53. http://dx.doi.org/10.18203/2320-6012.ijrms20205655.

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Background: The atypical congenital talipes equinovarus (CTEV) patients tend to have a different clinical foot presentation with small great toe, deep transverse crease of sole, tender swollen dorsum of foot and rigid equinus.Methods: This study was conducted in GMC Jammu to evaluate efficacy of modified Ponseti technique in atypical CTEV patients. It was a prospective study and the patient data was collected during OPD visits of patients from August, 2018 to June, 2020. Twenty-one patients were diagnosed as atypical CTEV and were managed with modification of conventional Ponseti technique and percutaneous release of achilles tendon was done in all patients. Three patients were lost to follow-up. Hence, the final number of study participants was 18 (n=18).Results: With modified Ponseti technique, functional correction was achieved in all the patients in our study. The average number of casts required was 8 (range; 5-10). At final follow-up visit, all feet are functionally corrected. Only one case of relapse was seen.Conclusions: Early diagnosis and treatment with modified Ponseti technique is an effective and easy method of treatment in atypical CTEV.

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Jain, Akshay, Adhir Jain, Ravi Kant Jain und Prateek Pathak. „Computed dynography, a method for evaluation of gait pattern in treated cases of congenital talipes equino varus“. International Journal of Research in Orthopaedics 6, Nr. 3 (22.04.2020): 611. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20201105.

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<p class="abstract"><strong>Background:</strong> Club foot is characterized by inversion, adduction and equinus. Currently, evaluation of children treated for congenital talipes equino varus (CTEV) includes clinical and radiological examination as well as assessment of function. However, none of the methods is ideal. There should<strong> </strong>be objective methods for better evaluation of function in treated CTEV. Gait analysis is the emerging method in objectively assessing the functional outcome. The aim of the study was to compare the selected measures from vertical ground reaction force variables and gait parameters of treated CTEV children with plantigrade feet, to healthy age and gender matched control group.</p><p class="abstract"><strong>Methods:</strong> We took 31 children with treated CTEV with mean age 8.21 years<strong> </strong>and compared with 31 age and gender matched controls. The patients were initially treated under a standard protocol. Gait cycle properties, step time parameters and vertical ground reaction force variables were recorded and comparison of unilateral and bilateral cases of treated CTEV was done with that of controls.<strong></strong></p><p class="abstract"><strong>Results:</strong> Data showed that despite good clinical results and overall function, residual intoeing, lateral foot walking, mild foot drop, weak plantar flexor power, possible residual inversion deformity of the foot, increased frequency and decreased duration of cycle and asymmetry in gait were the main characteristics of gait of children with treated CTEV. In unilateral cases single and double support times were decreased and in bilateral CTEV double support times are increased.</p><p class="abstract"><strong>Conclusions:</strong> The study confirms that in clubfoot patients who underwent full treatment, gait parameters do not reach normal levels. Gait analysis can be used to quantify gait pattern characteristics and is helpful in evaluation and further development of treatment of patients.</p>

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Agarwal, Anil, Anubrat Kumar, Abbas Shaharyar und Madhusudan Mishra. „The Problems Encountered in a CTEV Clinic“. Foot & Ankle Specialist 9, Nr. 6 (20.09.2016): 513–21. http://dx.doi.org/10.1177/1938640016666916.

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Background. The aim of the study is to create awareness in the practicing health care workers toward the problems encountered during casting and bracing of clubfoot following Ponseti method, and in turn avoid them. Material and Patients. Retrospective audit of 6 years’ clubfoot clinic records to analyze problems associated with Ponseti method. Observations. Problems were encountered in 26 cast and in 6 braced patients. Just 4 patients out of 71 syndromic (5.6%) experienced problems during casting compared with 3% overall incidence. The common problems encountered in casted patients were moisture lesions, hematoma, dermatitis due to occlusion, pressure sores, and fractures. There was excessive bleeding in 1 patient at time of tenotomy. In braced patients, pressure sores and tenderness at tenotomy site were major problems. None of the syndromic patients experienced difficulties during bracing. Conclusions. Problems were encountered with Ponseti method during casting, tenotomy, or bracing. Syndromic children had lesser complication rate than idiopathic clubfeet. It is important to be aware of these problems so that appropriate intervention can be done early. Levels of Evidence: Level IV: Retrospective

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Ahirwar, Rahul, Sachin Upadhyay und H. S. Varma. „Demographic study of congenital talipes equinovarus deformity in central India“. International Journal of Research in Medical Sciences 9, Nr. 5 (28.04.2021): 1313. http://dx.doi.org/10.18203/2320-6012.ijrms20211409.

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Background: Congenital idiopathic clubfoot is the most common birth defect of the musculoskeletal system affecting 1 in every 1000 live births each year. Aim of our study was to determine the demographic variables, risk factors associated with CTEV in central India.Methods: A retrospective study was conducted from January 2019 to August 2020 using data of 200 patients with CTEV registered at department of orthopaedics, Netaji Subhash Chandra Bose medical college, Jabalpur, Madhya Pradesh, India were included in our study.Results; Out of total of 200 patients, 167 patients belong to age group <1 year (83.5%) with range from 10 days -7 years. Males were twice (65%) likely affected and (53.5%) clubfoot cases had both feet affected. Right side was more affected in unilateral cases. 189 patients (94.5%) were idiopathic, whereas 11 patients (5.5%) were non-idiopathic. there were 58 (29%) children out of 200, born of consanguineous marriage of parents. Risk factors like anemia, jaundice, asphyxia, obstructed labor, history of miscarriage had positive correlation with clubfoot. CTEV patients of low birth weight <2.5 kg associated with maternal risk factors like smoking, alcohol, anemia.Conclusions: Demographic study is useful tool for determining birth prevalence and risk factors associated with CTEV. There are significantly higher proportion of consanguinity in clubfoot patients. Cultural differences may lead to differences in our findings with respect to the previous studies. These preliminary findings will help in the future for similar studies in central India as well as in the general Indian population.

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Pavone, Vito, Andrea Vescio, Annalisa Culmone, Alessia Caldaci, Piermario La Rosa, Luciano Costarella und Gianluca Testa. „Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot“. Children 8, Nr. 8 (21.07.2021): 618. http://dx.doi.org/10.3390/children8080618.

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Background: Dimeglio (DimS) and Pirani (PirS) scores are the most common scores used in congenital talipes equinovarus (CTEV) clinical practice. The aim of this study was to evaluate the interobserver reliability of these scores and how clinical practice can influence the clinical outcome of clubfoot through the DimS and Pirs. Methods: Fifty-four feet were assessed by six trained independent observers through the DimS and PirS: three consultants (OS), and three residents (RS) divided into three pediatric orthopaedic surgeons (PeO) and three non-pediatric orthopaedic surgeons (NPeO). Results: The PirS and DimS Scores were strongly correlated. In the same way, OS and RS, PirS, and DimS scores were strongly correlated, and the interobserver reliability ranked “good” in the comparison between PeO and NPeO. In fully trained paediatric orthopaedic surgeons, an “excellent” interobserver reliability was found but was only “good” in the NPeO cohort. Conclusions: In conclusion, after careful preparation, at least six months of observation of children with CTEV, PirS and DimS proved to be valid in terms of clinical evaluation. However, more experience with CTEV leads to a better clinical evaluation.

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Sreedhar, Muktevi. „NEGLECTED RESISTANT RECURRENT CTEV CORRECTION WITH JESS FIXATOR“. Journal of Evolution of Medical and Dental Sciences 3, Nr. 63 (19.11.2014): 13913–22. http://dx.doi.org/10.14260/jemds/2014/3860.

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Pullinger, M., T. Southorn, V. Easton, R. Hutchinson, R. P. Smith und A. P. Sanghrajka. „An evaluation of prenatal ultrasound screening for CTEV“. Bone & Joint Journal 96-B, Nr. 7 (Juli 2014): 984–88. http://dx.doi.org/10.1302/0301-620x.96b.33444.

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Shelton, Ros S., und Sue Banton. „The Parent’s Experience of Clubfoot Diagnosis Across the UK“. Ultrasound 17, Nr. 3 (01.08.2009): 172–76. http://dx.doi.org/10.1179/174313409x456698.

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This study presents a UK-wide snapshot of the experiences of families of children with idiopathic congenital talipes equinovarus (CTEV). 111 families with 112 affected children completed a questionnaire containing open and closed questions about demographic data, diagnosis, treatment, and support, from 50 of 72 UK counties. All children were born between July 2002 and June 2007. CTEV was diagnosed prenatally in 81 (72%) infants. Most families (73, 66%) felt that the prenatal care they received could have been improved. The most common complaint (38 families) was lack of information at the time of diagnosis. The most common reaction (50 families) was shock or distress. A comparison between modes of information delivery revealed that prenatal consultations and leaflets were commonly provided but that families preferred prenatal consultations, the internet, and a DVD. Almost all families (102 out of 111, 92%) who responded said they sought information independently. Most families (84%) used the internet and some were distressed by what they found. We conclude that the experience of families when a child is diagnosed with CTEV during the 20-week prenatal ultrasound scan is less stressful when good quality information is provided or when families are signposted to reputable sources.

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Pavone, Vito, Andrea Vescio, Alessia Caldaci, Annalisa Culmone, Marco Sapienza, Mattia Rabito, Federico Canavese und Gianluca Testa. „Sport Ability during Walking Age in Clubfoot-Affected Children after Ponseti Method: A Case-Series Study“. Children 8, Nr. 3 (01.03.2021): 181. http://dx.doi.org/10.3390/children8030181.

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Background: The Ponseti method (PM) of manipulative treatment for congenital talipes equinovarus (CTEV) or clubfoot became widely adopted by pediatric orthopedic surgeons at the beginning of the mid-1990s with reports of long-term successful outcomes. Sports are crucial for children’s development and for learning good behavior. This study aimed to evaluate the sports activity levels in children treated with PM and to assess the different outcomes, according to gender and bilaterality. Methods: A total of 25 patients (44 feet) with CTEV treated by the PM were included in the study. The patients were clinically evaluated according to the Clubfoot Assessment Protocol, American Orthopedic Foot and Ankle Society, Ankle–Hindfoot score, the Foot and Ankle Disability Index (CAP, AOFAS, and FADI, respectively), and FADI Sport scores. Results: The overall mean CAP, AOFAS, FADI, and FADI Sport scores were 97.5 ± 6.4 (range 68.75–100), 97.5 ± 5.8 (range 73.00–100), 99.9 ± 0.6 (range 97.1–100), and 100, respectively. Gender and bilaterality did not affect outcome (p > 0.05). Conclusions: The data confirmed good-to-excellent outcomes in children with CTEV managed by PM. No limitations in sport performance or activity could be observed. In particular, male and female patients and patients with unilateral or bilateral involvement performed equally well.

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Mohiuddin, Dr Mohammed Jalal, Dr C. Shamsunder, Dr Wasif Ishaqui und Dr Feroz Ahmed. „Neglected CTEV and Ilizarov assisted correction: A case report“. International Journal of Orthopaedics Sciences 5, Nr. 4 (01.10.2019): 384–87. http://dx.doi.org/10.22271/ortho.2019.v5.i4g.1702.

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Duffy, Catherine M., Jose J. Salazar, Lee Humphreys und Brona C. McDowell. „Surgical Versus Ponseti Approach for the Management of CTEV“. Journal of Pediatric Orthopaedics 33, Nr. 3 (2013): 326–32. http://dx.doi.org/10.1097/bpo.0b013e31827d0b2c.

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Barik, Sitanshu, Muhammed Nazeer und Babloo Thomas Mani. „Accelerated Ponseti technique: efficacy in the management of CTEV“. European Journal of Orthopaedic Surgery & Traumatology 29, Nr. 4 (06.12.2018): 919–24. http://dx.doi.org/10.1007/s00590-018-2353-1.

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Sunder, Dr Sham, Dr Sajid Salman, Dr Mohammed Jalal Mohiuddin, Dr Meer Misbahuddin und Dr Md Ahmed HS. „CTEV: Pre-natal diagnosis and its impact of treatment“. International Journal of Orthopaedics Sciences 7, Nr. 1 (01.01.2021): 227–28. http://dx.doi.org/10.22271/ortho.2021.v7.i1d.2485.

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Daun, Edewet, Mohd Yazid Bajuri, Abdul Halim Abd Rashid, Sharaf Ibrahim und Srijit Das. „OUTCOME OF PONSETI METHOD IN TREATING CONGENITAL IDIOPATHIC CLUBFOOT: FIVE YEARS’ EXPERIENCE AT A TERTIARY HOSPITAL“. Asian Journal of Pharmaceutical and Clinical Research 11, Nr. 4 (01.04.2018): 118. http://dx.doi.org/10.22159/ajpcr.2018.v11i4.23322.

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Objective: The earliest non-surgical treatment for the correction of congenital idiopathic talipes equinovarus (CTEV) deformity was described by Ignacio Ponseti. He suggested gentle manipulation and serial applications of casts followed by a period of bracing to maintain the correction. The main objective of this study was to evaluate the result of the Ponseti method with a subjective clinical scoring system using Pirani score, to compare the results with the published literature and to evaluate the effectiveness of foot abduction orthosis (FAO) or ankle-foot orthoses (AFO) in preventing relapse following correction.Methods: A cross-sectional study which was conducted at the Paediatric Orthopaedic Clinic, Universiti Kebangsaan Malaysia Medical Centre (UKMMC). A minimum of 12 months follow-up casting was observed before the patient was subjected to the subjective clinical scoring system. A total of 25 patients which included 5 right feet, 9 left feet, and 10 bilateral feet with idiopathic clubfeet were treated with Ponseti serial casting. Percutaneous Achilles tendon tenotomy was done for 28 feet (82.35%) to correct the equinus to achieve full correction.Results: Our results showed that the Ponseti method for treating CTEV was comparable to other published studies. Satisfactory and good results were observed in 97% of cases. A total of 41.18% underwent re-tenotomy of tendon Achilles due to recurrent and persistent equinus.Conclusion: The treatment of CTEV using Ponseti method will increase the successful correction. Meanwhile, the FAO gave better results for maintenance and prevention of recurrent deformity, compared to the AFO.

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Mohiuddin, Dr Mohammed Jalal, Dr J. Satyanarayana, Dr Sai Rithvika, Dr Hafsa Razvi Syeda und Dr C. Shamsunder. „CTEV - brief over view and short term follow up study“. International Journal of Orthopaedics Sciences 6, Nr. 1 (01.01.2020): 271–75. http://dx.doi.org/10.22271/ortho.2020.v6.i1e.1872.

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Rahman, Mohammad Shahriar, Md Khorshed Alam, Md Shahiduzzaman und Arebia Rahman. „Percutaneous needle tenotomy for Ponseti technique in the management of Congenital Talipes Equinovarus (CTEV)“. Journal of Dhaka Medical College 23, Nr. 1 (26.03.2015): 55–59. http://dx.doi.org/10.3329/jdmc.v23i1.22695.

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Background: The Ponseti method has become established treatment of choice in the management of clubfoot i.e. congenital talipes equinovarus (CTEV). Tenotomy of Tendo-achillis often is required as last step of ponseti method of treatment. This procedural note describes a simple method of doing a percutaneous tenotomy of Tendo-achilles. Methods: In Orthopedics OPD of Dhaka Medical College Hospital, Dhaka, percutaneous needle tenotomy was done in 70 feet of 52 patients from September 2013 to May 2014 by the same orthopedic surgeons for the management of CTEV by Ponseti technique. Results: We have found this technique is very effective than the commonly practiced percutaneous blade tenotomy or open tenotomy. Conclusion: This simple method of tenotomy using a wide bore needle during treatment of clubfoot in children can be a good surgical option. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22695 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 55-59

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Purnomo, Didik, Irawan Wibisono und Rahma Nurwidianti. „PENGARUH TERAPI LATIHAN DAN PEMASANGAN BANDAGE PADA CONGENITAL TALIPES EQUINO VARUS BILATERAL DI YPAC SEMARANG : LAPORAN KASUS“. Jurnal Fisioterapi dan Rehabilitasi 3, Nr. 2 (18.07.2019): 41–47. http://dx.doi.org/10.33660/jfrwhs.v3i2.74.

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Background : Congenital Talipes Equino Varus (CTEV) or commonly called Clubfoot is a general term used to describe a general deformity which is foot changes from its normal position. Problems that occur in the Congenital Talipes Equino Varus Bilateral case are the limited range of motion on both ankles, the presence of contractures in the posterior tibialis muscle. Physiotherapy role by providing modalities such as bandage usage, stretching, wall bars exercise, parallel bars exrcise and easy standing exercise.Case Presentation : Patients in this case were 9-year-old women using interventions in the form of bandage usage, wall bars exercise, parallel bars exrcise and easy standing exercise for 6 sessions.Method : This case report assesses the patient's joint motion range by measuring differences between pre-test and post-test.Results: Patients do not improved in the ankle range of motion.Conclusion : In this case, it was shown that exercise therapy given and bandage usage on 9-year-old patients with CTEV conditions could not change the patient's ankle range of motions.

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Hughes, K., Y. Gelfer, M. Cokljat, S. Wientroub, A. Yavor, Y. Hemo, M. Dunkley und D. M. Eastwood. „Does idiopathic congenital talipes equinovarus have an impact on attainment of developmental milestones? A multicentre international study“. Journal of Children's Orthopaedics 13, Nr. 4 (August 2019): 353–60. http://dx.doi.org/10.1302/1863-2548.13.190060.

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Purpose The Ponseti method is a well-established approach to treating clubfoot. Potentially, both the underlying pathology and adherence to post-correction bracing can affect lower limb function and age of independent standing and walking. This cohort study investigates the age at which infants with idiopathic clubfoot treated using the Ponseti method achieved three selected developmental milestones and whether or not this correlated with treatment compliance. Methods A prospectively collected database from four centres was visited. Inclusion criteria were patients with idiopathic clubfoot with no comorbidities or prior treatment. Age at attainment of independent standing, walking, nocturnal continence was compared across three groups: I) congenital talipes equinovarus (CTEV) children compliant with treatment; II) CTEV children non-compliant with treatment; and III) typically-developed siblings. Minimum follow-up was five years. Results In all, 130 patients (198 feet) fitted the inclusion criteria: 43:87 (F:M). Standing was achieved by a mean 12.0 months in group I (sd 2.50); 12.0 months (sd 2.0) in II and ten months (sd 3.0) in III. Walking was achieved by a mean 15 months (sd 4.0) in group I, 14 months (sd 1.75) in II and 12 months (sd 3) in III, respectively. Both the compliant and non-compliant CTEV children were significantly slower at achieving standing and walking compared to sibling controls (p < 0.0001). There was no significant difference between age of nocturnal continence between the three groups. Conclusion Infants with idiopathic clubfoot treated according to the Ponseti method achieve independent standing and walking approximately two months later than their typically-developed siblings. The delay is not related to the use of the foot abduction brace. Level of evidence: III

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K, Tabassum. „A case report on club foot (Congenital Talipes Equino Varus (CTEV))“. MOJ Clinical & Medical Case Reports 9, Nr. 4 (29.07.2019): 88–90. http://dx.doi.org/10.15406/mojcr.2019.09.00311.

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Meena, Ramesh Chandra, Devi Sahai Meena, Purnima Patni und Narendra Saini. „Jess and Illizarov in Neglected /Relapsed Ctev: A Prospective Comparative Study“. IOSR Journal of Dental and Medical Sciences 13, Nr. 9 (2014): 20–26. http://dx.doi.org/10.9790/0853-13972026.

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Davies, Kristen, und Paul Marshall. „The Ponseti method for the treatment of congenital talipes equinovarus (CTEV)“. British Student Doctor 2, Nr. 2 (30.06.2018): 17. http://dx.doi.org/10.18573/bsdj.71.

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K G, Gopalakrishna, Manjunath K S und Chandrashekar Chandrashekar. „A PROSPECTIVE STUDY OF SURGICAL CORRECTION OF CTEV BY CINCINNATI APPROACH“. Journal of Evolution of Medical and Dental Sciences 3, Nr. 39 (28.08.2014): 10026–46. http://dx.doi.org/10.14260/jemds/2014/3301.

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Okoński, Piotr, Patrycja Misztal-Okońska, Marek Okoński, Piotr Książek und Mariusz Goniewicz. „Frequency of hospitalization in patients diagnosed with congenital talipes equinovarus (CTEV)“. Polish Journal of Public Health 125, Nr. 4 (01.12.2015): 219–22. http://dx.doi.org/10.1515/pjph-2015-0059.

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Abstract Introduction. Congenital talipes equinovarus (CTEV), also called clubfoot is the second after congenital dysplasia of the hip (CDH) most frequently occurring congenital limb defect. In Europe the deformity affects 1-2 newborns in 1000 live births. Aim. The aim of the study was to determine frequency of the deformity among other reasons for hospitalization, as well as depicting the profile of patients treated for clubfoot. Material and methods. Study method was the analysis of medical documentation from two Orthopaedic Wards of Prof. Antoni Gębala Children’s Hospital of Lublin. Medical records of patients treated for congenital talipes equinovarus (IDC 10-Q66.0) between 2008 and 2013 were the study material. Results. Results of the study show that in the analyzed period of time 310 children were hospitalized for clubfoot in hospotal. 39.35% (n=122) of the total number of patients were girls and 60.65% (n=188) were boys. The average age of patients was 3.69 years, (Me=1.09 years). Average age of girls was 4.17 (Me=1.35 years) and boys 3.89 (Me=0.83 years). The most numerous group consisted of infants up to 1 year (n=154; 49.68%). Conclusions. Clubfoot affects boys twice as often as girls. Moreover, in the examined hospital the average length of stay for patients with clubfoot has decreased. The research reveals that the average hospitalization length in children with congenital talipes equinovarus is systematically decreasing. The study shows that the number of patients being admitted to the Children’s Orthopedics Institute of the Hospital is increasing while the number of patients with clubfoot remains on the same level.

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Ivashchenko, Olha, Oleg Khudolii und Wladyslaw Jagiello. „Strength abilities: pattern recognition method in the management of the cumulative effect of strength loads in 8-year-old boys“. Pedagogy of Physical Culture and Sports 25, Nr. 4 (30.08.2021): 253–60. http://dx.doi.org/10.15561/26649837.2021.0407.

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Background and Study Aim. The purpose of the study was to determine the peculiarities of using pattern recognition method in the management of the cumulative effect of strength loads in 8-year-old boys. Materials and methods. The study participants were 48 boys aged 8. The experiment was conducted using a 22 factorial design. The study materials were processed by the IBM SPSS 22 statistical analysis program. Discriminant analysis was performed. The study examined the impact of four variants of strength load on the formation of the cumulative training effect of three, six, nine, and twelve classes in 8-year-old boys. Results. The discriminant analysis provided information about the impact of four orthogonal variants of strength loads on the formation of the cumulative training effect of strength exercises of three, six, nine, and twelve classes in 8-year-old boys. The obtained data make it possible to choose a load mode at each step of the CTE formation and to manage schoolchildren’s strength training. Conclusions. The verification of the obtained discriminant functions shows their high discriminative ability and value in interpretation with respect to the general population (p < 0.05). It was found that the formation of the CTE of three classes is most influenced by the third load variant, six classes – by the third load variant, nine classes – the third load variant, twelve classes – the first load variant. The discriminant function structure coefficients made it possible to identify the factor structure of the CTE of 3, 6, 9, 12 classes, to find that the CTE3, CTE6 are associated with the work at the first place “Exercises to strengthen arm muscles”, the CTE9, CTE12 – with the work at the third (“Exercises to strengthen back muscles”) and the fourth (“Exercises to strengthen leg muscles”) places. The CTE of three, six, nine, and twelve classes depends on the modes of strength exercises and has different focuses. The CTE3 – speed and strength focus; CTE6, 9 – comprehensive focus; CTE12 – explosive-strength focus. The obtained values of centroids for the CTE of 3, 6, 9, 12 classes enable the management of schoolchildren’s strength training.

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Bedi, Mitesh, Rakesh Kumar Jain, Vipin Kumar Barala, Abhimanyu Singh und Hiranmayi Jha. „A Constellation of Rare Findings in a Case of Goldenhar Syndrome“. Case Reports in Pediatrics 2017 (2017): 1–4. http://dx.doi.org/10.1155/2017/3529093.

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An 18-month-old child presented with right macrostomia, bilateral preauricular skin tags, bilateral CTEV, squint in bilateral eyes, thoracic vertebral anomalies, right sided aortic arch, and associated left pulmonary agenesis. The patient did not have any associated respiratory symptoms. Ipsilateral pulmonary agenesis is considered as a rare association with Goldenhar syndrome and a case of contralateral pulmonary aplasia has been described as an even rarer association.

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Oyewole, Olugboyega A., Mosimabale J. Balogun, Richard A. Omoyeni und Samuel O. Ogunlade. „Outcome of clubfoot treatment in the pre-ponseti period in a Nigerian teaching hospital: a 14 year review“. International Journal of Research in Medical Sciences 8, Nr. 2 (27.01.2020): 401. http://dx.doi.org/10.18203/2320-6012.ijrms20200216.

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Background: Congenital Talipes Equinovarus (CTEV) is a common musculoskeletal congenital disorder. Historically, surgical treatment of various types was popular; however, currently the gold standard of treatment is non-operative care using the Ponseti method. This work evaluates the outcome of this former method of managing CTEV before author adopted the Ponseti Method and compares it with the reported outcomes of the Ponseti method in published literature.Methods: A retrospective review of this data from January 1990 to December 2003 was done, the patients demographics, treatment given, duration and outcome of care were analysed using descriptive statistics. This finding was then compared with outcomes of Ponseti method in literature.Results: Here, 145 patients had initial non operative care; eighteen of those patients (12.4%), eventually require either a posteromedial release, a combined posteromedial and posterolateral releases or a triple arthrodesis.Conclusions: The study shows that the success rate of this method of manipulation preceding the adoption of the Ponseti method is 87.6%. This outcome is inferior when compared to the outcome of Ponseti method in published literature. Also, the extensive nature of eventual surgical intervention required to achieve correction is in contrast to the minimal surgeries needed achieve correction of residual deformities following the use of the Ponseti method.

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Patibandla, Anil Babu, und Narayana Rao Vetapalem V. „JOSHI'S EXTERNAL STABILISATION SYSTEM (JESS), FOR RECURRENT CTEV DUE TO IRREGULAR FOLLOW UP“. Journal of Evidence Based Medicine and Healthcare 4, Nr. 35 (01.05.2017): 2139–43. http://dx.doi.org/10.18410/jebmh/2017/417.

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Alvear Morón, David. „Cambios Terapéuticos de Estilo de Vida (CTEV) y Mindfulness en el Ámbito Psicoterapéutico“. Revista de Psicoterapia 27, Nr. 103 (01.03.2016): 119–32. http://dx.doi.org/10.33898/rdp.v27i103.108.

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Se define el estilo de vida (EV) y se propone una posible relación directa con el cambio terapéutico en psicoterapia. Posteriormente, se analizan las intervenciones basadas en los Cambios Terapéuticos de Estilo de Vida (CEVT), su potencial en el contexto de la psicoterapia y se subraya la importancia de la práctica de mindfulness en la mayoría de las intervenciones basadas en CEVT. Más adelante, se describen cinco ámbitos de aprendizaje de habilidades mindfulness en el proceso psicoterapéutico y se acaba con varias conclusiones extraídas al respecto.

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E., Vijayaragavan, und Gopal T. V. „Study and development of an external aid for treating congenital talipes equinovarus (CTEV)“. International Journal of Engineering and Technology 8, Nr. 5 (31.10.2016): 1981–89. http://dx.doi.org/10.21817/ijet/2016/v8i5/160805416.

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Gupta, Rahul, und ArunKumar Gupta. „Sacrococcygeal teratoma with unilateral renal agenesis, spinal dysraphism, lumbar hernia, CTEV and natal teeth“. Formosan Journal of Surgery 52, Nr. 6 (2019): 235. http://dx.doi.org/10.4103/fjs.fjs_51_19.

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Singh, Ajai. „Evaluation of Neglected Idiopathic Ctev Managed by Ligamentotaxis Using Jess: A Long-Term Followup“. Advances in Orthopedics 2011 (2011): 1–6. http://dx.doi.org/10.4061/2011/218489.

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Background. This study was conducted with the aim of evaluating the role of Ligamentotaxis in the management of neglected clubfeet managed by ligamentotaxis using Joshi's External Stabilisation System (JESS).Method & Material. Total 20 subjects (28 feet) were studied, which were corrected by differential ligamentotaxis using JESS. All were evaluated clinically, radiologically, podogrammically, and by Catterall Pirani Scoring System, both before and after the correction.Results. Severity of the deformities and clinical correction was assessed by Pirani score. All patients achieved good clinical results as per Pirani score, which was statistically significant. Radiological evaluation showed that all subjects achieved the normal range of values. The pre- and postcorrection difference in FBA was statistically significant.Conclusion. Differential distraction by fixator for the correction of neglected idiopathic CTEV is an effective and patient-friendly method of management.

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Ng, K. P., N. C. Chan, K. F. Chan, K. Y. Yuen, N. C. Kwok und Y. H. P. Poon. „New impact of physiotherapy management on children with congenital talipes equinovarus (CTEV): Preliminary results“. Hong Kong Physiotherapy Journal 33, Nr. 2 (Dezember 2015): 99. http://dx.doi.org/10.1016/j.hkpj.2015.09.019.

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Savio, Sherly Desnita, und Made Agus Maharjana. „Accelerated versus standard Ponseti method for idiopathic congenital talipes equinovarus: a systematic review and meta-analysis“. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 8, Nr. 4 (09.01.2021): 473–84. http://dx.doi.org/10.17816/ptors35161.

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Background. The standard Ponseti method is a mainstay of treatment for children with congenital talipes equinovarus (CTEV); involving weekly manipulation and long-leg casting, this approach has proven to produce good long-term outcomes. However, it takes approximately 45 weeks to correct all deformity components, making compliance a challenge for patients with limited economic resources and difficulty reaching healthcare centres. Aim. This study aims to compare treatment outcomes between standard Ponseti and an accelerated protocol applying the same casts but changing them more frequently, every 2-5 days for the CTEV pathology. Methods. A systematic search was conducted based on PRISMA guidelines to identify relevant studies through PubMed, Google Scholar, and Cochrane Database. A total of seven studies (324 patients, 408 feet) were included in the meta-analysis. Five outcomes were compared between the two procedures: post-procedure Pirani score, relapse rate, tenotomy rate, number of casts, and total duration of treatment. Results. For total duration of treatment, the accelerated Ponseti method was superior to standard Ponseti (24.25 vs. 41.54 days, p 0.00001). On the other hand, it achieved comparable efficacy as measured by post-procedure Pirani score (1.01 vs. 0.87, p = 0.19). Furthermore, the two procedures were also comparable in terms of the total number of casts needed (4.94 vs. 5.05, p = 0.76), tenotomy rate (73.29% vs. 65.27%, p = 0.07) , and relapse rate (27.72% vs 25.23%, p = 0.56). Conclusion. Accelerated Ponseti offers similar efficacy and shorter duration of treatment compared to the standard Ponseti technique.

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Savio, Sherly Desnita, und Made Agus Maharjana. „Accelerated versus standard Ponseti method for idiopathic congenital talipes equinovarus: a systematic review and meta-analysis“. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 8, Nr. 4 (09.01.2021): 473–84. http://dx.doi.org/10.17816/ptors35161.

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Background. The standard Ponseti method is a mainstay of treatment for children with congenital talipes equinovarus (CTEV); involving weekly manipulation and long-leg casting, this approach has proven to produce good long-term outcomes. However, it takes approximately 45 weeks to correct all deformity components, making compliance a challenge for patients with limited economic resources and difficulty reaching healthcare centres. Aim. This study aims to compare treatment outcomes between standard Ponseti and an accelerated protocol applying the same casts but changing them more frequently, every 2-5 days for the CTEV pathology. Methods. A systematic search was conducted based on PRISMA guidelines to identify relevant studies through PubMed, Google Scholar, and Cochrane Database. A total of seven studies (324 patients, 408 feet) were included in the meta-analysis. Five outcomes were compared between the two procedures: post-procedure Pirani score, relapse rate, tenotomy rate, number of casts, and total duration of treatment. Results. For total duration of treatment, the accelerated Ponseti method was superior to standard Ponseti (24.25 vs. 41.54 days, p 0.00001). On the other hand, it achieved comparable efficacy as measured by post-procedure Pirani score (1.01 vs. 0.87, p = 0.19). Furthermore, the two procedures were also comparable in terms of the total number of casts needed (4.94 vs. 5.05, p = 0.76), tenotomy rate (73.29% vs. 65.27%, p = 0.07) , and relapse rate (27.72% vs 25.23%, p = 0.56). Conclusion. Accelerated Ponseti offers similar efficacy and shorter duration of treatment compared to the standard Ponseti technique.

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BA, Chethan, Dr CD Deepak und Dr KG Gunnaiah. „A clinical study of neglected idiopathic CTEV managed by ligamentotaxis using Joshi’s external stabilising system“. International Journal of Orthopaedics Sciences 4, Nr. 3.6 (01.07.2018): 677–81. http://dx.doi.org/10.22271/ortho.2018.v4.i3l.120.

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Sadia Sameera, Syeda, Mohammed Jalal Mohiuddin, Hafsa Razvi Syeda und Sai Rithwika. „Variation in the size of foot and great toe in unilateral CTEV (club foot deformity)“. Indian Journal of Clinical Anatomy and Physiology 6, Nr. 3 (15.10.2019): 299–303. http://dx.doi.org/10.18231/j.ijcap.2019.066.

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Pratt, E. J., J. M. van der Meulen, C. Davenport, W. E. Dickens, M. J. Flowers und A. G. Davies. „Evaluating the outcomes of surgical versus Ponseti management of CTEV using the Oxford Foot Model“. Gait & Posture 39 (Juni 2014): S79. http://dx.doi.org/10.1016/j.gaitpost.2014.04.109.

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Dai, Zheng, Heting Fu, Yufeng Zhang, Jing Zeng, Bing Tang und Xiao-Feng Tang. „Insights into the Maturation of Hyperthermophilic Pyrolysin and the Roles of Its N-Terminal Propeptide and Long C-Terminal Extension“. Applied and Environmental Microbiology 78, Nr. 12 (13.04.2012): 4233–41. http://dx.doi.org/10.1128/aem.00548-12.

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ABSTRACTPyrolysin-like proteases from hyperthermophiles are characterized by large insertions and long C-terminal extensions (CTEs). However, little is known about the roles of these extra structural elements or the maturation of these enzymes. Here, the recombinant proform ofPyrococcus furiosuspyrolysin (Pls) and several N- and C-terminal deletion mutants were successfully expressed inEscherichia coli. Pls was converted to mature enzyme (mPls) at high temperatures via autoprocessing of both the N-terminal propeptide and the C-terminal portion of the long CTE, indicating that the long CTE actually consists of the C-terminal propeptide and the C-terminal extension (CTEm), which remains attached to the catalytic domain in the mature enzyme. Although the N-terminal propeptide deletion mutant PlsΔN displayed weak activity, this mutant was highly susceptible to autoproteolysis and/or thermogenic hydrolysis. The N-terminal propeptide acts as an intramolecular chaperone to assist the folding of pyrolysin into its thermostable conformation. In contrast, the C-terminal propeptide deletion mutant PlsΔC199 was converted to a mature form (mPlsΔC199), which is the same size as but less stable than mPls, suggesting that the C-terminal propeptide is not essential for folding but is important for pyrolysin hyperthermostability. Characterization of the full-length (mPls) and CTEm deletion (mPlsΔC740) mature forms demonstrated that CTEm not only confers additional stability to the enzyme but also improves its catalytic efficiency for both proteineous and small synthetic peptide substrates. Our results may provide important clues about the roles of propeptides and CTEs in the adaptation of hyperthermophilic proteases to hyperthermal environments.

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Desai, Vasav D., Gayatri S. Desai und Nirav Raulji. „Popliteal pterygium syndrome: case report from rural India“. International Journal of Contemporary Pediatrics 7, Nr. 7 (24.06.2020): 1627. http://dx.doi.org/10.18203/2349-3291.ijcp20202629.

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The popliteal pterygium syndrome is a congenital malformation that includes orofacial, musculoskeletal and genitourinary anomalies. It is also known as faciogenitopopliteal syndrome. It is autosomal dominant disorder. It has highly variable expressivity and incomplete penetrance. The incidence of the popliteal pterygium syndrome is 1/300000, which makes it an extremely rare condition. The most striking characteristic of this syndrome is popliteal pterygium, which consists of a net of connective tissue spreading from the ischial tuberosity to the calcaneus.In this study, authors present the case of a 1 day old male patient with cleft upper lip, cleft palate, bifid scrotum, popliteal pterygium and congenital talipes equinovarus (CTEV).

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Hayes, C. A., J. R. Kingsley, K. R. Hamby und J. Carlow. „The effect of endovenous laser ablation on restless legs syndrome“. Phlebology: The Journal of Venous Disease 23, Nr. 3 (Juni 2008): 112–17. http://dx.doi.org/10.1258/phleb.2007.007051.

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Objectives Venous disease was proposed as a cause of restless legs syndrome (RLS) by Dr Karl A Ekbom in 1944, but has since remained largely unexplored. This study examines the effect of endovenous laser ablation (ELA) in patients with concurrent RLS and duplex-proven superficial venous insufficiency (SVI). Methods Thirty-five patients with moderate to very severe RLS (as defined by the 2003 National Institute of Health (NIH) RLS criteria) and duplex-proven SVI completed an international RLS rating scale questionnaire (IRLS) and underwent standard duplex examination to objectively measure the baseline severity of their conditions. They were separated into non-operative and operative cohorts. The operative cohort underwent ELA of refluxing superficial axial veins using the CoolTouch CTEV 1320 nm laser and ultrasound-guided sclerotherapy of the associated varicose veins with foamed sodium tetradecyl sulphate (STS). All patients then completed a follow-up IRLS questionnaire. Baseline and follow-up IRLS scores were compared. Results Operative correction of the SVI decreased the mean IRLS score by 21.4 points from 26.9 to 5.5, corresponding to an average of 80% improvement in symptoms. A total of 89% of patients enjoyed a decrease in their score of ≥15 points. Fifty-three percent of patients had a follow-up score of ≤5, indicating their symptoms had been largely alleviated and 31% had a follow-up score of zero, indicating a complete relief of RLS symptoms. Conclusions ELA of refluxing axial veins with the CTEV 1320 nm laser and foamed STS sclerotherapy of associated varicosities alleviates RLS symptoms in patients with SVI and moderate to very severe RLS. Recommendations SVI should be ruled-out in all patients with RLS before initiation or continuation of drug therapy.

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Hussain, Imam, Muhammad Osama und Reem Javed Malik. „CONGENITAL FOOT ANOMALIES;“. Professional Medical Journal 24, Nr. 01 (18.01.2017): 139–43. http://dx.doi.org/10.29309/tpmj/2017.24.01.477.

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Background: Congenital foot anomalies affect a large number of childrenthroughout the world. Rehabilitation of these anomalies is expensive and time consuming.There are many factors responsible for these anomalies. Incidence of these anomalies variesin different areas of the world. The aim of this study is to determine the frequency of congenitalfoot anomalies among children reporting at Chal foundation, Swabi, Pakistan. Study Design: Across sectional descriptive study. Setting: Chal Foundation, Swabi, Pakistan. Period: October2012 – October 2014. Methodology: Sample was selected using the convenience samplingtechnique. A total of 1141 patients visited the center, out of which 408 cases of congenitalfoot anomalies. Patient demographics including name, age, gender and district along withdiagnosis and side involvement was noted, and analyzed on SPSS v21.0. Results: A sampleof 408 patients was taken from which 70.3% were males and 29.7% were females. The meanage of the patients was 4.47 years at the time of visit. Only 5.9% cases were reported within thefirst year after birth. Right side foot anomaly was observed in 23.8% cases and 20.3% caseshad left side foot anomaly. Bilateral anomaly was observed in 55.9% cases. Among the 408cases, the most often reported was CTEV, observed in 79.7% cases. The second most commonanomaly was pes planus, observed in 8.8% cases. Conclusion: Congenital foot anomalies arecommon musculoskeletal anomalies affecting a large number of children, the most prevalentof which is CTEV. Unfortunately few people seek management in time either due to lack offacilities or awareness. Prevalent cousin marriages in the society may also play an influentialrole in increased risk of such anomalies to occur. Many of these anomalies can be managedconservatively with physical therapy and orthotics if reported in due time. Attention should bepaid on educating people regarding identification and timely management of such conditions.

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R, Gunalan, Mazelan A, Lee YPB und Saw A. „Pattern of Presentation and Outcome of Short-term Treatment for Idiopathic Clubfoot / CTEV with Ponseti Method“. Malaysian Orthopaedic Journal 10, Nr. 3 (01.11.2016): 21–25. http://dx.doi.org/10.5704/moj.1611.009.

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Sanap, Amol, Tushar Chaudhari, Binoti Sheth, Dhruvilkumar Gandhi, Kaustubh Gate und AA Arun. „Tibial torsion; does it differ in children with congenital talipes equinovarus (ctev) compared to normal ones?“ International Journal of Medical Research & Health Sciences 4, Nr. 4 (2015): 872. http://dx.doi.org/10.5958/2319-5886.2015.00174.5.

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