Relevant bibliographies by topics / Ponseti management

Academic literature on the topic 'Ponseti management'

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

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Journal articles on the topic "Ponseti management"

1

Sanghvi, AV, and VK Mittal. "Conservative Management of Idiopathic Clubfoot: Kite versus Ponseti Method." Journal of Orthopaedic Surgery 17, no. 1 (April 2009): 67–71. http://dx.doi.org/10.1177/230949900901700115.

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Purpose. To compare the long-term results of the Kite and Ponseti methods of manipulation and casting for clubfoot. Methods. 42 patients (with 64 idiopathic clubfeet) were equally randomised to Kite or Ponseti treatments in the early weeks of life. 14 males and 7 females (34 clubfeet) were treated by the Kite method, whereas 13 males and 8 females (30 clubfeet) were treated by the Ponseti method. All the clubfeet were manipulated, casted, and followed up (for a mean of 3 years) by one experienced orthopaedic surgeon. The final results were compared. Results. The success rates for the Kite and Ponseti treatments were similar (79% vs 87%). With the Ponseti method, the number of casts was significantly fewer (7 vs 10); the duration of casting required to achieve full correction was significantly shorter (10 vs 13 weeks); the maximum ankle dorsiflexion achieved was significantly greater (12 vs 6 degrees); and the incidence of residual deformity and recurrence was slightly lower. Conclusion. The Ponseti method can achieve more rapid correction and ankle dorsiflexion with fewer casts, without weakening the Achilles tendon.
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Nguyen, Julia, Jacob Veliky, Aedan Hanna, Jae Hoon Choi, Dhvani Shihora, Aleksandra McGrath, Neil Kaushal, Folorunsho Edobor-Osula, and Alice Chu. "The Impact of Treatment Method and Timing on the Long Term Outcomes of Pediatric Clubfoot Management." Foot & Ankle Orthopaedics 7, no. 4 (October 2022): 2473011421S0084. http://dx.doi.org/10.1177/2473011421s00848.

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Category: Other; Ankle; Hindfoot; Midfoot/Forefoot Introduction/Purpose: The Ponseti method of serial casting has been widely accepted as the new gold standard for management of idiopathic clubfoot, replacing joint invasive surgery, once the method-of-choice. While the short to midterm advantages of the method have been widely confirmed in the literature, there are limited comparative studies of the longer term outcomes. Dr. Ponseti's own definitive assessment of the long term result has not been decisively reevaluated by the literature. This systematic review compares the long-term functional outcomes of the two pediatric clubfoot management methods across different ages at treatment. Methods: A comprehensive search was conducted of PubMed, CINAHL, Web of Science, and Cochrane from inception to December 2020 to identify literature on clubfoot. Using PRISMA guidelines, the search terms clubfoot OR clubfeet OR clubbed foot OR clubbed feet OR talipes equinovarus were used. Articles containing more than three human subjects, were included. The database was searched for longitudinal studies of pediatric, idiopathic clubfoot management with the Ponseti method or joint invasive surgery. Retrospective studies of primary Ponseti treatment with serial casting or invasive soft tissue release and joint surgery that was performed on newly born and children up to twenty four months old and with reported mean follow-up of two years or longer were included. Evaluation reported according to different scoring systems were dichotomized as success (good to satisfactory results) or failure (residual or relapse that requires corrective management). Probability of less than 0.05 is considered statistically significant. Results: The initial search yielded 2907 articles, of which 29 articles reporting 2597 pediatric idiopathic clubfeet were included in this review, managed with either Ponseti casting, (group P = 1545 feet), or other surgical techniques, (group S = 1052 feet). The outcomes of 684 feet from group P with a mean long term follow up of 21+-13years were significantly superior to 1028 feet from group S with a mean follow up of 16+-5 years (p = 0.0002, odds ratio = 1.478). Multivariate analysis on 1310 feet from group P with mean age of 4.4 months (Range 1 - 8.9) against 794 feet from group S with mean age of 10.8 months (Range 1 - 22) detects no significant dependency on age (p = 0.128). Conclusion: The Ponseti method of serial casting resulted in significantly higher long term satisfaction outcomes compared with invasive surgical techniques in treatment of congenital clubfoot when performed within the first year of life. The findings supported Dr. Ponseti's own assessment regarding the high long term satisfaction rate (8+ years). Age was not found to be a significant contributor to the success of Ponseti casting over invasive surgery even though casting often started much earlier than surgery.
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Sharif, Shabana, Rehan Ramzan Khan, Saima Riaz, Sajid Rashid, Zaigham Rasool Athar, Tausif Aamir, and M. M. Khan. "Effectiveness of Ponseti Versus Kite Method for the Management of Club Foot- A Quasi Experimental Trial." Pakistan Journal of Medical and Health Sciences 15, no. 6 (June 30, 2021): 1871–73. http://dx.doi.org/10.53350/pjmhs211561871.

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Objective: To determine the effectiveness of ponseti versus kite method for the management of club foot among children. Methods: A quasi experimental trial was conducted to determine the most effective conservative method for managing idiopathic club foot. This study was carried out in District Head Quarter Hospital, Layyah. A total of 46 children (60 Feet) aged less than six months of both genders were included in this study using convenience sampling technique. The study sample was divided into Group A (Ponseti) and Group B (Kite). Each treatment group comprises of 30 feet. Patients were called for weekly follow up till ten weeks consecutively. At every follow-up visit, patients were assessed to check the improvement of deformity with the help of the Pirani scoring system for the foot. Pirani score difference was measured in both treatment groups from the baseline until the last follow-up interval until the 10th Week. Pirani score difference was measured in both treatment groups from the baseline until the last follow-up interval until the 10th Week. A greater negative value signified better correction. SPSS 23 was used for data entry and analysis. Results: Children's mean age in both treatment groups (A and B) was 10.83±4.59 and 10.20±4.75 weeks. At presentation mean Pirani score in both treatment groups (A and B) was 5.85±0.67 and 5.86±0.45, respectively, while at 10th follow up it was 1.42±0.39 and 2.35±0.54 for group A and group B, respectively. Conclusion: This study demonstrates that the Ponseti technique significantly improved the management of club foot as that of the Kites method. Ponseti's method is more effective in terms of rapid improvement in the involved group. Key words: Non operative Management, Idiopathic Club foot, Kites method, Ponseti method.
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Kuo, Ken N., and Peter A. Smith. "Evidence Favors Ponseti Management of Clubfoot." Journal of Bone and Joint Surgery 103, no. 21 (November 3, 2021): e87. http://dx.doi.org/10.2106/jbjs.21.00738.

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5

Venkata Shyam Prasad, Polisetty, and Lakshmi Sumana Voruganti. "MANAGEMENT OF CLUBFOOT BY PONSETI METHOD." Journal of Evolution of Medical and Dental Sciences 7, no. 12 (March 19, 2018): 1484–87. http://dx.doi.org/10.14260/jemds/2018/336.

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Mahajan, Neetin, Ujwal Ramteke, Sandeep Gavhale, Nikhil Palange, Akash Mane, and Harshit Dave. "Ponseti technique: efficacy in idiopathic clubfoot in Indian population." International Journal of Research in Orthopaedics 4, no. 4 (June 23, 2018): 614. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20182734.

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<p class="abstract"><strong>Background:</strong> The number of operations for clubfoot is many, but the results are not encouraging and more complications are encountered after operative treatment. Most surgeons believe manipulation to be easy; however they rarely complete the treatment and abandon it and go on to surgery. In the confusing scenario Ponseti Method evolved and proved across the world to be one of the most promising ways to correct club foot with low cost minimum surgery and good result in short period of time.</p><p class="abstract"><strong>Methods:</strong> 50 cases of idiopathic clubfeet (76 feet) were enrolled from a period of May 2006 to May 2008 in the department of Orthopaedic. Out of 50, 42 patients were followed-up for two years. Post tenotomy follow-up done every monthly for 3 months. At every visit babies were checked for any relapse and parents were counselled for the strict compliance with Foot Abduction Brace. The results of correction in 42 patients (64 feets) evaluated and compared with Ponseti's observation and other form of conservative management.<strong></strong></p><p class="abstract"><strong>Results:</strong> The analysis of results of correction of clubfeet deformity by Ponseti's method reveals around 95.30% of good to acceptable result as compared with Ponseti’s observation of around 99% which is comparable. We have observed 4.69% of poor result as compared with 1% observed by Ponseti.</p><p class="abstract"><strong>Conclusions:</strong> It is safe, efficient, Economical and most effective treatment for clubfoot which decreases the need for extensive corrective surgery. This technique can be used in children up to one year of age even after previous unsuccessful non-surgical treatment.</p>
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Scanlan, Emily, Kate Grima-Farrell, Emre IIhan, Paul Gibbons, and Kelly Gray. "Initiating Ponseti management in preterm infants with clubfoot at term age." Journal of Children's Orthopaedics 16, no. 2 (April 2022): 141–46. http://dx.doi.org/10.1177/18632521221080476.

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Purpose: Currently, the optimal time to initiate treatment among preterm infants with clubfoot is unknown. The aim of this study was to describe treatment outcomes up to 1 year post-correction following Ponseti management in infants who were born preterm but treated at term age. Methods: A retrospective chart audit was conducted at a major pediatric hospital on preterm infants with clubfoot who commenced Ponseti management at term age (≥37 weeks of gestation). Data are expressed as mean values (±standard deviation) or 95% confidence intervals (95% CIs). Results: Twenty-six participants (40 feet) born at 32.6/40 (±3.1) weeks of gestation were identified. Thirteen (50%) were male, 14 (54%) presented bilaterally, and 7 (27%) presented with syndromic clubfoot. Ponseti management was initiated at 41.4/40 (±2.8) weeks gestation. Baseline Pirani scores were 5.2 (95%CI: 4.8–5.6) in the idiopathic group and 5.7 (95%CI: 5.0–6.4) in the syndromic group. The number of casts to correction was 5.9 (95% CI: 5.1–6.6) for those with idiopathic clubfoot and 6.1 (95%CI: 5.0–7.3) for those with syndromic clubfoot. Achilles tenotomies were required in 13 (21 feet) with idiopathic clubfoot and five (7 feet) with syndromic clubfoot. Recurrence occurred in four infants (5 feet): 4 feet required further casting and bracing, and 1 foot required additional surgery. Conclusion: Ponseti management at term age in preterm-born infants yields comparable 1-year outcomes to term-born infants. Further research is required to determine whether outcomes beyond 1 year of age align with growth and development demonstrated by term-born infants who are managed with the Ponseti method. Level of evidence: Level IV.
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Blandinsky, V. F., M. A. Vavilov, T. E. Torno, and A. V. Donskoy. "MANAGEMENT OF ATYPICAL CLUBFOOT BY PONSETI METHOD." Traumatology and Orthopedics of Russia 16, no. 1 (May 12, 2010): 75–79. http://dx.doi.org/10.21823/2311-2905-2010-0-1-75-79.

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From May 2006 to August 2009 analyzed 28 clinical observations (34 feet) for children aged from 7 days to 1.5 years with severe atypical congenital clubfoot (Pirani 5,6 points), treated by the method of I. Ponseti. The average number of gypsum one foot to the full correction was - 6.3. It was written 38 achillotomy. Dates from the beginning of gypsum to achillotomy averaged - 34 days. All of the children undergoing treatment with us after the removal of plaster, dressed brace, fixing the foot fixed in position 45° abduction and 15° of flexion of the back and encouraged them to carry up to 3-4 years. All the children in this group achieved a complete correction of foot deformities without performing tenoligamentocapsulotomy. Results of treatment were evaluated according to the classification C. Pirani. Average score was 1.1 points. Follow-up was an average of 1 year 35 days.
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Charak, Sumeet Singh, Khalid Muzafar, and Omeshwar Singh. "Management of idiopathic clubfoot with Ponseti technique." International Journal of Research in Medical Sciences 5, no. 8 (July 26, 2017): 3355. http://dx.doi.org/10.18203/2320-6012.ijrms20173156.

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Background: Idiopathic congenital talipes equinovarus (club foot) is a complex deformity that is difficult to correct. The goal of treatment is to reduce or eliminate its four components so that the patient has a functional foot and leads a normal life.Methods: Study have treated 20 patients with 32 idiopathic clubfoot deformities using Ponseti method. The severity was assessed by modified pirani scoring.Results: The mean number of casts that were applied to obtain correction was 7.02 (range four to nine casts). Tenotomy was done in 30 feet. Thirty feet had good results. One patient developed recurrence of the deformity due to non-compliance of the use of orthrotics.Conclusions: The Ponseti method is a safe and effective treatment for congenital idiopathic clubfoot and radically decreases the need for corrective surgery. Non-compliance with orthotics main factor causing failure of the technique.
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Elgazzar, AmrS. "Ponseti management of clubfoot after walking age." Egyptian Orthopaedic Journal 49, no. 1 (2014): 29. http://dx.doi.org/10.4103/1110-1148.140535.

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Books on the topic "Ponseti management"

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Agrawal, RA, and Sureshwar Pandey. Step by Step� Management of Clubfoot by Ponseti Technique. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833.

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Book chapters on the topic "Ponseti management"

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Agrawal, RA. "Chapter-01 Introduction." In Step by Step� Management of Clubfoot by Ponseti Technique, 1–6. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_1.

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Agrawal, RA. "Chapter-10 Relapsed or Recurrent Clubfoot." In Step by Step� Management of Clubfoot by Ponseti Technique, 149–72. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_10.

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Agrawal, RA. "Chapter-11 Clubfoot Associated with Arthrogryposis Multiplex Congenita." In Step by Step� Management of Clubfoot by Ponseti Technique, 173–80. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_11.

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Agrawal, RA. "Chapter-12 Errors and Complications." In Step by Step� Management of Clubfoot by Ponseti Technique, 181–86. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_12.

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Manaktala, Usha. "Chapter-13 Operative Vaginal Delivery." In Step by Step Management of Clubfoot by Ponseti Technique, 118–24. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_13.

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Batra, Swaraj. "Chapter-14 Destructive Procedures." In Step by Step Management of Clubfoot by Ponseti Technique, 125–32. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_14.

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Dubey, Chandan. "Chapter-15 Episiotomy and Lower Genital Tract Injuries." In Step by Step Management of Clubfoot by Ponseti Technique, 133–40. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_15.

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Arora, Raksha. "Chapter-16 Manual Removal of Placenta." In Step by Step Management of Clubfoot by Ponseti Technique, 141–44. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_16.

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Ramji, Siddarth. "Chapter-17 Neonatal Resuscitation: An Overview of Current Consensus and Appropriate Technologies." In Step by Step Management of Clubfoot by Ponseti Technique, 145–50. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_17.

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Tripathi, Reva. "Chapter-18 Postpartum Evaluation of Placenta, Umbilical Cord and Foetal Membranes." In Step by Step Management of Clubfoot by Ponseti Technique, 151–63. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10833_18.

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