Relevant bibliographies by topics / Idiopathic clubfoot

Academic literature on the topic 'Idiopathic clubfoot'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Idiopathic clubfoot"

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van Bosse, H. J. P. "Challenging clubfeet: the arthrogrypotic clubfoot and the complex clubfoot." Journal of Children's Orthopaedics 13, no. 3 (June 2019): 271–81. http://dx.doi.org/10.1302/1863-2548.13.190072.

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Within the realm of clubfoot deformities, teratologic and complex (or atypical) clubfeet stand out as the most difficult. Exemplarities of the teratologic types of clubfoot are those associated with arthrogryposis multiplex congenita. Treatment of arthrogrypotic clubfoot deformities has been controversial; many different procedures have been advocated, with variable success rates. These clubfeet have a high recurrence rate, regardless of treatment type. Often, the high recurrence rate has led to a high repeat surgery rate, and poor outcomes. Treatment strategies should highlight care that avoids the development of a stiffened foot and allows for a variety of options to regain correction when a relapse occurs. Modifications of the Ponseti method for idiopathic clubfeet have been successful in managing the deformity. The equinocavus variant of the arthrogrypotic clubfoot should be distinguished from the classic clubfoot, as it requires a different treatment method. The equinocavus clubfoot is very similar to the complex or atypical clubfoot. The complex, or atypical, clubfoot also requires a different treatment strategy compared with the typical idiopathic congenital clubfoot. The complex clubfoot appears to be idiopathic in some cases and iatrogenic (due to slipping stretching casts) in others. Dr. Ponseti’s modification of his protocol has been effective in treating the deformity. The high recurrence rate suggests the difficulty in maintaining the deformity after correction. The author’s preferred treatment for each deformity is included, with an emphasis on minimally invasive methods. Level of Evidence Level V, expert opinion
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Wimberly, Robert Lane. "Idiopathic clubfoot." Current Opinion in Orthopaedics 16, no. 6 (December 2005): 451–56. http://dx.doi.org/10.1097/01.bco.0000181536.34897.1b.

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Ahmad, Shafiq, Shakeel Ahmed, Mahreen Zahra, Amir Hanif, Bilal Hussain, and Muhammad Kashif. "Management of Spina Bifida Related Non Idiopathic Club-Foot with Ponseti's Method." Pakistan Journal of Medical and Health Sciences 16, no. 5 (May 26, 2022): 278–80. http://dx.doi.org/10.53350/pjmhs22165278.

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Objective: To determine the outcome of Ponseti’s method among children with spina bifida related non-idiopathic clubfoot at a leading pediatric tertiary care children hospital of South Punjab, Pakistan. Study Design: A retrospective cohort. Place and Duration of the Study:Department of Pediatric Orthopedic Surgery, The Children’s Hospital and Institute of Child Health, Multan Pakistan from 1st January 2016 to 31st March 2022. Material and Methods: A total of 24 children (41 feet)of both genders aged up to 3 months presenting with non-idiopathic clubfoot related to spina bifida who underwent Ponseti’s method for treatment of clubfoot, with a minimum post-treatment follow up of 3 years were included. Demographic data, severity of clubfoot disease along outcomes in terms of successful correction, unsuccessful correction, relapse were noted during the study period. Results: In a total of 24 children, 15 (62.5%) were boys. Overall, mean age was calculated to be 2.6±2.2 weeks while 14 (58.3%) children were aged between 0-2 weeks. Bilateral feet were involved in 17 (70.8%) children while unilateral feet involvement was noted in 7 (29.2%) cases so total number of feet were 41. Out of these 41 feet, 38 (92.7%) had severity of clubfoot as per Pirani Score as 6. Number of casts performed were 8 or below in 39 (95.1%). Mean duration of follow up was 3.8±0.6 years. Correction of clubfoot was achieved in 36/41 (87.8%) feet. During the follow-ups, recurrence occurred in 11 (26.8%) feet. Conclusion:Initial clubfeet correction in the spina bifida cases achieved good correction rates. Rate of recurrence was considerably high with a minimum follow up period of 3 years among spina bifida associated clubfeet. Keywords: Achilles tendon, clubfoot, Pensoti’s method, spina bifida.
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Bhatiwal, Sunil Kumar, B. L. Chopra, B. L. Khajotia, and Shakti Chauhan. "Idiopathic clubfoot treated by Ponseti method: a series of 300 cases." International Journal of Research in Orthopaedics 4, no. 6 (October 24, 2018): 954. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20184383.

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<p class="abstract"><strong>Background:</strong> Clubfoot is a complicated deformity of the foot. It is one of the commonest congenital deformities in children. The main aim of this study was to evaluate the efficacy management of clubfoot by Ponseti method.</p><p class="abstract"><strong>Methods:</strong> This prospective study included 300 children (456 club feet) below the age of 2 years with idiopathic clubfeet from January 2013 to December 2017. In all the cases the Ponseti method was used for the management. The severity of the deformity was assessed with the help of the Pirani score and clinical evaluation of the foot was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 300 patients 204 patients were male and 96 patients were female and 144 were unilateral clubfoot and 156 were bilateral cases of clubfoot. The mean number of casts required for correction was 5.4 (4–10). Out of 456 clubfeet 356 (78%) feet were required tenotomy. There was relapse seen in 36 (7.9%) feet which had to be managed with 2–3 serial manipulations and casting and these resolved. Excellent result found in our study in 92% cases, good results were found in 5% cases and poor results were found in 3% cases.</p><p class="abstract"><strong>Conclusions:</strong> Ponseti technique is a very useful and effective method of management of idiopathic clubfoot up to 2 year of age.</p>
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Selmani, Edvin, Julian Ruci, and Arben Gjonej. "Percutaneous Achilles Tenotomy in Idiopathic Clubfoot treatment." Albanian Journal of Trauma and Emergency Surgery 7, no. 1 (January 20, 2023): 1104–6. http://dx.doi.org/10.32391/ajtes.v7i1.301.

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Introduction; Percutaneous Achilles tenotomy is a standard procedure in most clubfoot patients treated with Ponseti method as the most widely use method of conservative clubfoot treatment. To our knowledge, there are not studies published in Albanian literature about this technique. Our goal is to present results of conservative treatment of idiopathic clubfoot where this technique was performed. Material and Method. This is a prospective study of all idiopathic clubfoot patients treated in our Institution with Ponseti Method. We performed this technique under sedation anesthesia in operation room, not in clinic. We measured age of patient at time of presentation, gravity according to Pirani score, number of casting, need for Achilles tenotomy). We measured the degree of angle of dorsiflexion before and after this procedure, the gravity and need for a second procedure. Results: Out 400 clubfeet treated during 2005-2010 we included in our study 372 case that needed the percutaneous Achilles tenotomy performed. Average age at presentation was 3 weeks. Average Pirani score was 5.5. The number of weekly serial cast needed before the tenotomy was 8. Dorsiflexion angle after this procedure was improved by 45 degree (range from 30 to 90 degree). Only 2 cases needed reoperation due to non-compliance with foot abduction bar and physiotherapy Conclusion: The percutaneous Achilles tenotomy is used in 93% of case with idiopathic clubfoot serie of patient. It is an easy technique performed with sedation anesthesia in operation room not with local anesthesia. Achilles tenotomy is an important element to avoid recurrence This supports other studies that have used this method.
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Kyzer, Susan P. "Congenital Idiopathic Clubfoot." Orthopaedic Nursing 10, no. 4 (July 1991): 11–18. http://dx.doi.org/10.1097/00006416-199107000-00004.

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Alexander, Maryann, Jeffrey D. Ackman, and Ken N. Kuo. "Congenital Idiopathic Clubfoot." Orthopaedic Nursing 18, no. 4 (July 1999): 47???58. http://dx.doi.org/10.1097/00006416-199907000-00014.

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Portalatin, Edwin, Sarah Parenti, Jordan L. Polk, Chan-Hee Jo, Jacob R. Zide, and Anthony Riccio. "The Ponseti Method for the Treatment of Clubfeet Associated with Down Syndrome." Foot & Ankle Orthopaedics 7, no. 4 (October 2022): 2473011421S0088. http://dx.doi.org/10.1177/2473011421s00884.

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Category: Other Introduction/Purpose: This study aims to compare treatment characteristics and outcomes of clubfoot patients with Down Syndrome (DS) to those with idiopathic clubfoot treated with the Ponseti method. Methods: A retrospective review of prospectively gathered data was performed at a single institution over an 18-year period. Patients with idiopathic clubfeet (IC) and clubfeet associated with DS who were less than one-year old and treated by the Ponseti method were included. Initial Dimeglio score, number of casts, need for tendoachilles tenotomy, recurrence, and need for further surgery were recorded. Outcomes were classified using the Richards classification system. Results: 24 clubfeet in 15 patients with DS, and 320 IC in 225 patients were identified with an average follow-up of 62 and 65 months respectively. DS patients presented for treatment at an older age (54 vs. 16 days, p=0.000) and with lower initial Dimeglio scores (11.1 vs. 13.7, p=0.000). Tendoachilles tenotomy was performed in 79% of IC and 75% of the DS clubfeet (p=0.64). Recurrence rates were not statistically different between the groups, nor was the need for later surgery. However, recurrences in the DS group were significantly less likely to require intra-articular surgery (4.2% vs. 34.4%, p=0.02). Clinical outcomes were 83% 'good', 13% 'fair', and 4% 'poor' in DS patients, and 69% 'good', 27% 'fair', and 4% 'poor' in the idiopathic cohort (p=0.1). Conclusion: Despite milder deformity and older age at presentation, DS associated clubfeet have similar recurrence rates and clinical outcomes as their idiopathic counterparts. When deformities do relapse in DS patients, significantly less intra-articular surgery is required than for idiopathic clubfeet.
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Redah, Samer Mohammed. "Complications of Ponseti Technique in Treatment of Idiopathic Club Foot." AL-Kindy College Medical Journal 18, no. 2 (August 31, 2022): 123–26. http://dx.doi.org/10.47723/kcmj.v18i2.776.

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Background: Clubfoot, or talipes equinovarus, is a congenital deformity that consist of; supination and adduction of the forefoot and midfoot; equinus of hindfoot and varus. It was found that more than 100,000 babies are born each year with congenital clubfoot Objectives: The purpose of this study was to investigate the complications of ponseti method for treatment of children with idiopathic club foot. Subjects and Methods: 50 children with 74 clubfeet were managed by Ponseti method from May 2019 to July 2020 in Al-Wasity teaching hospital with primary correction of the deformity followed sometimes by elongation of Achilles tendon then the patients were followed up till June 2021 and the complications were calculated. Results: complications were 10.8% incomplete correction (mostly equinus) and it was corrected by surgery, 6.7% ulcer on the medial surface of head of 1st metatarsal , 9.4% cast falling and 18.9% relapse. Conclusions: Ponseti technique is a safe and effective method for correction of clubfoot and decreases the need for corrective surgery with minimal complications that can be easily managed.
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Loza, Michel Eshak, Sherif NG Bishay, Hassan Magdy El-Barbary, Atef Abdel-Aziz Zaki Hanna, Yehia Nour El-Din Tarraf, and Ashraf Adel Ibrahim Lotfy. "Double column osteotomy for correction of residual adduction deformity in idiopathic clubfoot." Annals of The Royal College of Surgeons of England 92, no. 8 (November 2010): 673–79. http://dx.doi.org/10.1308/003588410x12699663904718.

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INTRODUCTION Adduction of the forefoot is the most common residual deformity in idiopathic clubfoot. The ‘bean-shaped foot’, which is a term used to describe a clinical deformity of forefoot adduction and midfoot supination, is not uncommonly seen in resistant clubfoot. SUBJECTS AND METHODS Fifteen children (20 feet) with residual forefoot adduction in idiopathic clubfeet aged 3–7 years were analyzed clinically and radiographically. All of the cases were treated by double column osteotomy (closing wedge cuboid osteotomy and opening wedge medial cuneiform osteotomy) with soft tissue releases (plantar fasciotomy and abductor hallucis release), to correct adduction, supination and cavus deformities. Pre-operative measurements of certain foot angles were compared with their corresponding postoperative values. RESULTS A grading system for evaluation of the results using a point scoring system was suggested to evaluate accurately both clinical and radiographic results after a follow-up period of an average of 2.3 years. Eight feet (40%) had excellent, eight (40%) good, three (15%) fair, and one (5%) poor outcome. There was no major complication. There was significant improvement in the result (P > 0.04). CONCLUSIONS Double column osteotomy can be considered superior to other types of bone surgeries in correction of residual adduction, cavus and rotational deformities in idiopathic clubfoot.
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Dissertations / Theses on the topic "Idiopathic clubfoot"

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Sawatzky, Bonita J. "Ground reaction force patterns in children with idiopathic unilateral clubfeet." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/30157.

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Clubfoot is a common birth defect affecting 2-3 children per 100 live births. The child is born with a foot in equinus, forefoot adduction, and heel varus. The defect primarily lies within the subtalar joint, the articulation between the talus and calcaneus. Assessment of the clubfoot, to date, depends upon clinical measurement, radiographic measurements, and observations of the child's gait. The clinical measurements are subjective in nature. While the radiographic measures are more objective, they have shown to be poorly correlated with the clinical outcome. The problem in assessing clubfeet is the lack of a dynamic objective assessment which correlates well with the clinical assessment. The purpose of this study is examine the differences between ground reaction force patterns in children with normal feet versus children with clubfeet, and more specifically determine whether there is a significant correlation between subtalar motion and vertical moment. Three groups of feet were used for the study: the first group included one foot from children with normal feet (n=16), the second group included the affected clubfoot of children with unilateral clubfoot (n=7), and the third group included the intact foot of the children with clubfoot (n=7). The children's feet were clinically examined by an orthopaedic resident, measuring ankle and subtalar range of motion, and heel position on stance. Ground reaction force data was collected with 3 trials for each group for each subject. One way ANOVA's showed significant differences between the clubfoot group and the intact foot group and the normal foot group for all clinical parameters. Regression analysis showed that the net vertical moment correlated highly (r=.84) with the subtalar range of motion and heel position in the clubfoot and intact groups, however, not the normal group. For example, a more rigid, varus foot produced a greater internal net torque. The net anterior-posterior impulse correlated highly (r=.92) with ankle range of motion. Thus, an ankle with a greater range of motion produced a greater propulsive force. The rigid and varus nature of the clubfoot does reduce the foot's ability to efficiently absorb and transmit the torque produced by the leg. The restricted ankle range of motion in the clubfoot also affects the ability for the foot to produce a normal powerful propulsive force during gait. This limited propulsion may be cause by the current standard of treatment of the clubfoot. A surgeon could perform an anterior wedge osteotomy of the tibia instead of an achilles lengthening to obtain adequate dorsiflexion and maintain a strong plantarflexor muscle. Before any of these conclusions can be made with confidence, a study with more subjects needs to be undertaken.
Education, Faculty of
Curriculum and Pedagogy (EDCP), Department of
Graduate
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Rasool, Mahomed Noor. "The histopathological characteristics of the skin in congenital idiopathic clubfoot." Thesis, 2012. http://hdl.handle.net/10413/9591.

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Purpose: To highlight the histopathological characteristics of the skin in congenital clubfoot and correlate the clinical findings in clubfoot with the changes in the dermal layers. Materials and methods: One hundred skin specimens, from 77 infants (6 to 12 months), were studied between 2004 and 2008. Using the Pirani scoring system, the clinical severity was recorded. The mobility of the skin and the correctability of the medial ray were assessed clinically. A skin specimen (1cm x 1mm) was taken from the medial side of the foot at surgery following failed plaster treatment. The layers were studied under light microscopy. The thickness of the dermis and the histopathological features of clubfoot skin were compared with 10 normal skin specimens. Results: The dermis of clubfoot skin showed significant fibrosis with thick bundles of collagen fibres (P = .001) on Haematoxylin and Eosin staining (H&E). The dermal thickness ranged between 1.0mm and 5.2mm in clubfoot skin, compared with controls (0.64-1.28mm). Fibrosis extended into the subcutis in a septolobular fashion in 95% of the cases. Significant atrophy of eccrine glands was seen in 98% (P = .001). Hair follicles were absent in 78%. The elastic fibres of clubfoot skin, stained with Elastic van Gieson staining (EVG), showed hypertrophy in varying degrees in all skin specimens. They were fragmented, with loss of their parallel arrangement. There was no significant inflammatory reaction in the dermis. The Pirani score was significantly increased (mean 7.8). Discussion: Fibrosis and thickening of the dermis were the most significant histopathological features of the clubfoot skin. The elastic fibres were also abnormal. There was atrophy of the skin appendages due to the fibrosis. There was a strong correlation between the Pirani score and the severity of the deformity(P 0.016). The cases with poor outcome had a higher score than those with a satisfactory outcome.Lack of a significant inflammatory reaction suggests that neither the serial manipulations of the foot, nor the repeated plaster cast changes, were responsible for the dermal fibrosis, which is probably present from birth and contributes to the deformity.
Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2012.
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Books on the topic "Idiopathic clubfoot"

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The idiopathic clubfoot and its treatment. New York: Thieme, 1986.

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Book chapters on the topic "Idiopathic clubfoot"

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Hamel, Johannes. "The Idiopathic Clubfoot." In Foot and Ankle Surgery in Children and Adolescents, 1–78. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-58108-4_1.

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Hitachi, T. "Early Treatment of Severe Idiopathic Clubfeet." In The Clubfoot, 553–68. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4613-9269-9_90.

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Turco, V. "Recognition and Management of the Atypical Idiopathic Clubfoot." In The Clubfoot, 76–77. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4613-9269-9_13.

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Mellerowicz, H., M. Sparmann, A. Eisenschenk, S. Dorfmuller-Kuchlin, and G. Gosztonyi. "Morphometric Study of Muscles in Congenital Idiopathic Clubfoot." In The Clubfoot, 7–15. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4613-9269-9_3.

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Howard, P., and L. Dias. "Medial Rotation of the Talus and Complete Calcaneocuboid Release—Its Effect on the Surgical Results in Idiopathic Clubfoot." In The Clubfoot, 209–15. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4613-9269-9_42.

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Kuo, K. N. "A Comparative Result of Posteromedial Release Versus Posteromedial and Lateral Release for Idiopathic Talipes Equinovarus Using the Cincinnati Incision." In The Clubfoot, 208–9. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4613-9269-9_41.

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Dietz, Frederick R. "Idiopathic Clubfoot." In Pediatric Orthopaedic Secrets, 292–95. Elsevier, 2007. http://dx.doi.org/10.1016/b978-1-4160-2957-1.10049-1.

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Demetracopoulos, Constantine A., and David M. Scher. "Ponseti Method for Idiopathic Clubfoot Deformity." In Operative Techniques: Pediatric Orthopaedic Surgery, 567–87. Elsevier, 2011. http://dx.doi.org/10.1016/b978-1-4160-4915-9.00045-4.

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DIETZ, FREDERICK R. "What Is the Best Treatment for Idiopathic Clubfoot?" In Evidence-Based Orthopaedics, 264–72. Elsevier, 2009. http://dx.doi.org/10.1016/b978-141604444-4.50039-4.

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Conference papers on the topic "Idiopathic clubfoot"

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Forrester, Lynn Ann, Rachel J. Shakked, Wallace B. Lehman, Norman Y. Otsuka, and Alice Chu. "Perfusion Is Not Measurably Decreased in Idiopathic Clubfoot." In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.639.

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Mahmoodian, Roza, and Sorin Siegler. "An MRI Based Study of Tarsal Development During Manipulation and Casting Therapy of Infant Clubfoot." In ASME 2007 International Mechanical Engineering Congress and Exposition. ASMEDC, 2007. http://dx.doi.org/10.1115/imece2007-42573.

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Ponseti technique is a common non-surgical treatment based on serial manipulation and casting for idiopathic infant clubfoot. We have used three dimensional MRI throughout the treatment, to investigate the effect of the casts on the clubfoot of a one week old (at the beginning of treatment) male with unilateral right idiopathic congenital clubfoot deformity. A total of 21 MRI scans were obtained during weekly serial manipulation and corrective casting. Changes in shape, volume, ossification, and positional relationships of the hind foot anlagen were studied. We found that immediate shape changes occur following casting, particularly in the talus and the navicular, and when after one week the cast is removed the anlagen do not elastically return to their original shape and position prior to casting. Furthermore, the growth rate of some of the clubfoot anlagen, in particular the talus, was faster than normal. A faster ossification was observed in the calcaneus and cuboid. Results also showed correction in parallelism of calcaneus and talus in the anteroposterior plane, minor correction of this parallelism in the lateral view necessitating a heel cord tenotomy, and correction of the medial rotation of calcaneus. Under this treatment changes in talar neck angle yielded a decreasing trend. The navicular moved with respect to the head of the talus from a medial to a lateral position. Relative to the talar body it shifted laterally. Also the geometrical center of talus ossific nucleus was noted to move towards the center of the whole anlagen suggesting that the ossification extends in the opposite direction from the head of the talus. It was concluded that the mechanism of adaptation to the casting loads was quick deformation immediately upon cast application followed by adaptation to the new shape in the cast. These were qualitative findings. It was also concluded that most of the correction occurred during the initial treatment period, primarily during the first and second weeks (1). On the quantitative end, it was confirmed that MRI and computer techniques can be utilized to ascertain and quantify the abnormalities which were impossible to well identify otherwise. MRI based studies have powerful potential to provide helpful information on the choice of treatment as well as guidance throughout. For instance, it may therefore be possible in the present case to shorten the treatment time without adverse effects on the outcome.
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