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1
Khasanah, Al Um Aniswatun, Sri Yuliana, Bota Muhammad Akbar, Dhofirul Fadhil Dzil Ikrom Alhazmi, and Khabib Abdullah. "DEFORMITAS ANKLE PADA ANAK CEREBRAL PALSY DI FORUM KELUARGA CEREBRAL PALSY (FKCP) LAMPUNG YANG TELAH MENDAPAT PELAYANAN FISIOTERAPI." JURNAL PROFESIONAL FISIOTERAPI 1, no. 2 (2022): 23–27. http://dx.doi.org/10.24127/fisioterapi.v1i2.2420.
Full textAbstract:
Deformitas ankle yang terjadi pada cerebral palsy dapat berbentuk Pes Planus, Pes Cavus, Pes Palnovagus, Talipes Calcaneuvalgus, Talipes Calcaneus, Talipes Valgus, Talipes Varus, Equino Varus. Deformitas umumnya dirasakan dan dievaluasi dalam perspektif biomekanik dalam program Fisioterapi. Disini Peneliti melakukan penelitian yang spesifik dengan mengambil sampel pada anak yang telah melakukan tindakan Fisioterapi di Klinik maupun RS yang lokasinya di Kota Metro. Dari data tersebut diperoleh. Pada tipe CP Spastik Quadriplegia berjumlah 9 (64,28%), CP Spastik diplegia berjumlah 4 (28,57%), dan CP berjumlah Athetoid 1 (7,14%), Untuk Riwayat Operasi berjumlah 1 (7,14%), tidak ada riwayat berjumlah 13 (92,85%), menggunakan AFO berjumlah 8(57,14%), tidak menggunakan AFO berjumlah 2 (14,28%), Kadang-kadang menggunakan AFO berjumlah 4 (28,57%). Banyaknya Jenis Deformitas Ankle Anak CP (N=14) Pada Kaki Kanan, Kaki Kiri, dan Keduanya. Pada Deformitas Ankle Talipe Varus Kaki Kanan 1 (7,14%), Pada Deformitas Ankle Talipe Varus Kaki Kiri 1 (7,14%), Pada Deformitas Ankle Talipe Varus Keduanya 2 (14,28%), Pada Deformitas Ankle Talipe Valgus Kaki Kanan 1 (7,14%), Pada Deformitas Ankle Talipe Valgus Keduanya 6 (42,85%), Pada Deformitas Ankle Talipe Equinus Keduanya 2 (14,28%), Pada Deformitas Ankle Talipe Calcaneus Kaki Kanan 1 (7,14%).
 Berdasarkan Klasifikasi tipe CP . Pada tipe CP Spastik Quadriplegia ada deformitas ankle Talipes Calcaneus 1 (7,14%) untuk ekstremitas kaki kanan, ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki keduanya, ada deformitas ankle Talipes Valgus 6 (42,85%) untuk ekstremitas kaki keduanya, ada deformitas ankle Talipes Equinus 1 (7,14%) untuk ekstremitas kaki keduanya. Pada tipe CP Spastik Diplegia ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki kanan, ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki kiri, ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki keduanya, ada deformitas ankle Talipes Equinus 1 (7,14%) untuk ekstremitas kaki keduanya. Pada tipe CP Athetoid ada deformitas ankle Talipes Valgus 1 (7,14%) untuk ekstremitas kaki kanan.
 
 
 Kata Kunci: deformitas ankle, cerebral palsy, FKCP Lampung, pelayanan fisioterapi
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-, Filberto. "Diagnosis dan Tatalaksana Congenital Talipes Equino Varus (CTEV)." Cermin Dunia Kedokteran 48, no. 1 (2021): 58. http://dx.doi.org/10.55175/cdk.v48i1.1270.
Full textAbstract:
<p>Kaki pengkor atau Congenital Talipes Equino Varus (CTEV) adalah salah satu kelainan bawaan pada kaki yang sering dijumpai pada bayi. CTEV adalah masalah umum yang terkait dengan kontraktur tendon medial kaki, tendon Achilles, dan kontraktur pergelangan kaki, hindfoot, dan midfoot. Kaki biasanya kecil, berada pada posisi equinus, varus, cavus, dan adduksi. Perawatan nonoperatif hampir selalu merupakan metode perawatan awal untuk CTEV, terdiri dari peregangan dan gips serial menggunakan metode Ponseti. Setelah koreksi serial dengan gips, deformitas harus ditahan menggunakan foot abduction brace (FAB) untuk mencegah kekambuhan.</p><p>Clubfoot or congenital Talipes Equino Varus (CTEV) is one of the congenital abnormalities found in newborn's feet. CTEV is a problem associated with medial tendon contractures of the foot, Achilles tendon, and ankle, hindfoot, and midfoot contractures. The feet are usually small, and in an equinus, varus, cavus and adducted position. Nonoperative treatment is almost always the initial treatment method, consisting of stretches and serial casts using the Ponseti method. After correction with serial casts, the deformity should be retained using a foot abduction brace (FAB) to prevent recurrence.</p>
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Kurnia, Noofi emma, W.Wahyuni, and Amalia faradilla rahim. "Edukasi Tentang Congenital Talipes Equinovarus (CTEV)/Kaki Pengkor Kepada Orag Tua Peserta Posyandu Balita Anggrek Bulan Joyosuran, Surakarta." JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA 5, no. 2 (2023): 68–72. http://dx.doi.org/10.55606/pkmsisthana.v5i2.865.
Full textAbstract:
Conginetal Talipes Equinovarus (CTEV) merupakan deformitas kaki komplek pada bayi baru lahir, memiliki ciri-ciri kelainan bentuk tungkai pada cavus, adduct, varus dan equinus. Kondisi ini ditandai dengan keterbatasan LGS pada ankle, kontraktur jaringan pada sisi medial kaki, otot-otot eversi di sisi lateral kaki tidak seimbang, otot-otot betis tidak berkembang. Di Indonesia CTEV terjadi berkisar antara 0,76 hingga 3,49 kasus per 1000 kelahiran hidup 4,8 juta bayi per tahun 3.648 to 16.752 kasus baru Clubfoot di Indonesia per tahun. Pada anak dengan CTEV memiliki penyimpangan saat berjalan dan keseimbangan pada anak CTEV juga terganggu sehingga memperngaruhi gaya berjaan fungsional. Pengabdian masayarakat di Posyandu Angrek Bulan Joyosuran diikuti sebanyak 30 peserta, diberikan penyuluhan tentang Conginetal Talipes Equinovarus (CTEV) bertujuan agar masyarakat mampu mengenali tanda-tanda kaki pengkor/Conginetal Talipes Equinovarus (CTEV) pad anak dan apabila terdapat masyarakat yang memiliki anak dengan tanda-tanda kaki pengkor/Conginetal Talipes Equinovarus (CTEV) dan memberi latihan untuk menunjang keterbatasan anak dan mampu mencari pertolongan agar anak tidak semakin memburuk kondisinya. Adanya peningkatan wawasan dengan dibuktikannya peserta mampu menjawab post-test setalah di berikan materi oleh pemateri yang awalnya tidak mampu menjawab pre-tes. Dengan hal ini menunjukkan bahwa kegiatan penyuluhan yang diberikan oleh pemateri dapat mengalami peningkatan dan menambah wawasan pengetahuan orangtua balita peserta Posyandu Anggrek Bulan Joyosuran
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L., Labango Singh, Shantikumar Singh H., Naorem Kishorchand, et al. "Management of Idiopathic Congenital Talipes Equinovarus (CTEV) by Ponseti Technique- A Prospective Study." International Journal of Pharmaceutical and Clinical Research 14, no. 1 (2022): 524–29. https://doi.org/10.5281/zenodo.13865325.
Full textAbstract:
Congenital talipes equinovarus (CTEV), also known as clubfoot, is common congenital orthopedic foot deformity in children characterized by four components of foot deformities: midfoot cavus, hindfoot varus, equinus and forefoot adduction. Although a number of conservative and surgical methods have been proposed to correct the clubfoot deformity, the relapses of the clubfoot are very common. Therefore, a study was conducted to determine the effectiveness of Ponseti technique in the management of CTEV in children less than 2 years of age. 40 cases were studied out of which 25 of them were bilateral CTEV. The sequence of correction of deformity were cavus, adduction, varus and equinus. Serial manipulation and casting were done. Tenotomy done for equinus deformity difficult to correct with cast followed by bracing. Average of 6 cast were required per feet. Initial mean Pirani score was 4.7. Almost 95.38% (62 out of 65) achieved correction using this method. Hence, we concluded that Ponseti technique is simple, effective and economical technique which can be useful for treatment of idiopathic clubfoot.
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Mayank, Shrotriya, Agarwal Gaurav, Jain Sheela, Agrawal Roopa, and Kumar Jain Rajesh. "Management of Idiopathic Congenital Talipes Equinovarus by Ponseti's Technique-Outcome Analysis." International Journal of Pharmaceutical and Clinical Research 15, no. 6 (2023): 889–97. https://doi.org/10.5281/zenodo.12293039.
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<strong>Background: </strong>Congenital talipes equinovarus (CTEV), also known as clubfoot, is a common congenital orthopaedic condition characterised by an excessively turned-in foot (equinovarus) and high medial longitudinal arch (cavus). Untreated, it causes permanent impairment, deformity, and agony. Interventions can be conservative (such as splinting or stretching) or surgical. <strong>Objectives: </strong>To analyze the outcome of Ponseti’s technique in management of idiopathic Congenital Talipes Equinovarus. <strong>Material and Methods: </strong>This was a single centre, hospital (inpatient) based, prospective, observational stud involving infants less than 6 months of age at the time of enrolment. The clinical result among the study participants were evaluated one year following therapy. The severity of CTEV was assessed using Pirani Score. <strong>Results: </strong>A total of 32 infants accounting for 54 feet were treated as a part of this study: 22 participants had bilateral CTEV (44 feet), and 10 participants had unilateral CTEV (10 feet). The success rate of treatment of CTEV among 54 feet treated using the Ponseti technique was 96.29%. Only two feet (in two different participants) did not have the desired outcome. The primary reasons in both cases were non-compliance with the treatment protocol. The median number of casts was 7 per foot ( range 3 to 18 casts). Number of casts applied were higher among participants having bilateral CTEV. A total of 72.2% of participants required tenotomy as a part of treatment. The most common complication was soreness (10.5%) followed by the crowding of toes (4.7%). The most difficult deformity to treat is to correct cavus. <strong>Conclusion: </strong>Ponseti’s technique had very high success rate among young infants who followed treatment protocol and complied with follow up.
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Ha, Won-Bae. "A Case Report of Talipes Cavus-Type Plantar Fasciitis Treated with Acupotomy and Fascia Chuna Therapy." Korean Society of Chuna Manual Medicine Spine and Nerves 17, no. 1 (2022): 47–53. http://dx.doi.org/10.30581/jcmm.2022.17.1.47.
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Objectives : This case study aimed to investigate the effect of acupotomy and fascia chuna therapy on talipes cavus-type plantar fasciitis.
 Methods : We classified the foot arch type using a podoscope and estimated the out- come by evaluating the numeric rating scale, pain disability index, and EuroQol-5-di- mension measurement.
 Results : After treatment, heel pain decreased and the quality-of-life score improved.
 Conclusions : This study suggests that treatment with acupotomy and muscle en- ergy techniques based on the foot arch type may be effective for plantar fasciitis. A limitation of this study is the small number of cases. Further clinical studies are required
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Rademan, Jacobus. "Ruptured pseudoanuerysm of the posterial tibial artery after percutaneous Achilles tenotomy." BMJ Case Reports 15, no. 3 (2022): e232847. http://dx.doi.org/10.1136/bcr-2019-232847.
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Congenital talipes equinovarus (CTEV), or clubfoot, is the the most common encountered musculoskeletal defect encountered at birth. Most cases present as an isolated deformity, with up to half of them presenting with bilateral deformity. CTEV have also been reported to present as part of syndromic phenomena. Dr Igancio Ponseti proposed a serial casting programme to correct the foot’s cavus, forefoot adduction, varus and equinus. Up to 90% of infants will require a tendo-achilles (TA) tenotomy for the persisting equinus deformity. TA tenotomy is deemed a relatively safe procedure, with the most authors citing bleeding as the most common complication. The Achilles tendon finds itself surrounded by rich network of blood vessels and nerves. We present a case of a ruptured pseudoaneurysm from the posterior tibial artery after percutaneous TA tenotomy was performed. This is a very rare complication and to our knowledge, only one other posterior tibial artery pseudoaneurysm has been reported.
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Bagul, Joti P., and Pankaj P. Dole. "Correction of idiopathic congenital talipes equinus varus by Ponseti technique in newborn." International Journal of Research in Orthopaedics 6, no. 1 (2019): 85. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20195175.
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<p class="abstract"><strong>Background:</strong> Clubfoot is one of the commonest congenital anamoly. Though various modalities of treatment are available for this common disorder ranging from surgical release, distraction by external fixator to conservative methods none has proved to be standard for treatment.</p><p class="abstract"><strong>Methods:</strong> A study of 40 cases (62 feets) of clubfoot treatment was done at Post Graduate Institute of Swasthiyog Prathishthan, Miraj by Ponseti technique. Cavus was corrected in first manipulation by first metatarsal lift (supination) followed by forefoot adduction and heel varus in subsequent manipulation until abduction of 60-70 degree is achieved.<strong></strong></p><p class="abstract"><strong>Results:</strong> Post treatment evaluation of results was done. 75% feet had very good results, 20% had good results and 5% had poor results, 11% had relapse of deformity ranging from mild to severe. Two feets required retenotomy before casting, only one feet required RPMR.</p><p class="abstract"><strong>Conclusions:</strong> The Ponseti method of correction of clubfoot is a safe and effective treatment and radically decreases the need for extensive corrective surgeries and achieves functional pain free normal looking plantigrade feet with mobility and required no modified shoes.</p>
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Westberry, David E., Ashley M. Carpenter, Katherine Brown, and Samuel B. Hilton. "Outcomes of Naviculectomy for Severe Recurrent Clubfoot Deformity." Foot & Ankle Orthopaedics 6, no. 2 (2021): 247301142110081. http://dx.doi.org/10.1177/24730114211008155.
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Background: Naviculectomy was originally described for resistant congenital vertical talus deformity but was later expanded to use in rigid cavus deformity. This study reviews the operative outcomes of complete excision of the navicular for recurrent deformity in the talipes equinovarus (TEV) population. Methods: After institutional review board approval, all patients undergoing naviculectomy at a single institution were identified. Clinical, radiographic, and pedobarographic data (minimum 2 years’ follow-up) were reviewed. Results: Twelve patients (14 feet) with TEV from 1984 to 2019 were included. All feet had minimum 1 prior operative intervention on the affected foot (mean age = 4.0 years, range 0.2-14.5), with 8/14 having at least 3 prior operative procedures. Complete navicular excision with concomitant procedures was performed in all patients (mean age = 11.7 years, range 5.5-16.1). Mean clinical follow-up from naviculectomy was 5.1 years (range, 2.2-11.2). During follow-up, 6 patients required subsequent surgery, most often secondary to pain and progressive deformity. One patient underwent elective below-knee amputation of the affected extremity. Of the remaining 11 patients, 7 of 11 reported continued pain and 8 of 11 maintained adequate range of motion at the ankle at the most recent follow-up. Conclusion: Clinical follow-up demonstrated deteriorating results in a large percentage of patients. The high rate of additional procedures and continued pain in the current series suggests that even as a salvage procedure, naviculectomy may not provide adequate results for patients. Level of Evidence: Level IV, case series.
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Khan, Aqeel, Shoukat Hayat, Muhammad Ramzan, Sara Kafeel, Ejaz Asghar, and Sumaira Khurshid. "FACTORS ASSOCIATED WITH RECURRENCE CLUBFOOT." Pakistan Journal of Social Research 06, no. 01 (2022): 290–93. http://dx.doi.org/10.52567/trj.v6i01.101.
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Background: Clubfoot is an intricate deformity of ankle and foot involving bony mal-alignment, adduction of forefoot, and hind-foot Varus, cavus, and equines caused by contracture of soft tissues. The many factor contribute to relapse of clubfoot, are neglected when advise the Proper pan of care. Objective: To find the association of clubfoot recurrence with no proper exercise and improper fitting of Denis Browne splint shoe. Materials & Methods: A cross sectional study was conducted at PIPOS Rehabilitation Service Program (PRSP), Peshawar. The data was collected from a sample of n=300 patients in Pakistan Institute of Prosthetic and Orthotic Science. The non-probability convenient sampling technique was used for data collection. The duration of the study was 6 months (April 2019 to October 2019). The male and female recurrent clubfoot children whose are either infant or till the age of 6 and registered in PRSP. The data collection was done through an international club foot registry form and self structured questionnaire. The results are presented in term of descriptive statistics and Chi-Square test was also performed to assess club foot and other variable association with each other. Results: The result showed n=110(37.3%) participants reported they had no proper fitting of Denis Browne Splint shoe (DBS) and n=97(32.3%) showed they underwent no proper exercise follow up. There was significant association of club foot recurrence with improper fitting of DBS (p<0.001) and no proper exercises (p=0.02). Conclusion: The study indicated that without proper exercises and in appropriate fitting of DBS may lead to recurrence of club foot. Keywords: Congenital Talipes Equinovarus, Clubfoot, Denis Browne Splint, Ponseti method
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Rondonuwu, Gloria, Joudy Gessal, and Patricia Kalangi. "Physical Medicine and Rehabilitation Management in Pediatric Patient with Postural (Positional) Clubfoot: A Case Report." Medical Scope Journal 5, no. 2 (2023): 279–87. http://dx.doi.org/10.35790/msj.v5i2.46886.
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Abstract: Clubfoot, talipes equinovarus, is a common term used to describe several kinds of ankle or foot deformities present at birth. This condition is one of the most treatable birth defects, often leading to normal or near-normal athletic activities later in life. We reported a patient with positional clubfoot treated with serial casting, passive manipulation, and stimulation. Male, 6 days old, lived in Sonder, with a chief complaint of right foot that bent inward since birth. Patient was consulted by pediatrician to physiatrist since the birth day. The bent inward foot was not accompanied by swelling and redness, and patient was seen calm when the foot being moved. Patient was treated by physiatrist with passive manipulation, four times weekly with serial casting, and everyday stimulation for feet. During treatment session, patient’s deformity was getting improved. After treatment, the deformity was corrected and patient’s foot was in normal position without any complication. The aim of medical rehabilitation of clubfoot was to reduce the deformity with the success criteria that foot could be functional, free of pain, good mobility, and did not require correction shoes, therefore, the patient could carry out normal activities after growing up. In conclusion, to produce the maximum correction results, good cooperation is required with the patient’s parents. Even though correction is optimal and done as soon as possible, if bone growth has not stopped, the clubfoot problem can reappear. The first element of management is correction of the cavus deformity by positioning the forefoot in proper alignment with the hindfoot. Keywords: postural clubfoot; physical medicine and rehabilitation; children; passive manipulation; serial casting; everyday stimulation for feet
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Girotra, Prateek, K. Prashanth Kumar, and Rejo Varghese Jacob. "Evaluation of effectiveness of Ponseti's method in the clubfoot management under 1-year children: a prospective study." International Journal of Research in Orthopaedics 7, no. 2 (2021): 228. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20210042.
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<p class="abstract"><strong>Background:</strong> Congenital talipes equino Varus is common congenital orthopedic foot deformity in children characterized by hindfootequinus, hind foot varus, midfoot cavus, and forefoot adduction deformities. There is a necessity to analyze the number of casts employed in the treatment, compliance of bracing, relapse pattern and percentages of surgical referral under 1 year of age for clear understanding and better practice to achieve successful outcomes. This study aimed to judge the effectiveness of Ponseti in the treatment of clubfoot under 1-year old children. </p><p class="abstract"><strong>Methods:</strong> The patients were selected in the OPD and evaluated for virgin idiopathic clubfoot under 1-year age. Serial casting done weekly by Ponseti method after assessing Pirani and Demeglio score before every cast.</p><p class="abstract"><strong>Results:</strong> In our study all 29 clubfeet that were treated by Ponseti method showed complete correction. Minimum cast being 5 and maximum being 10 casts. Corrected feet were supple, plantigrade and painless of which 1 foot had relapse&lt;3weeks due to ill-fitting shoes. Which was subsequently corrected with repeat tenotomy and cast application.</p><p class="abstract"><strong>Conclusions:</strong> The Ponseti method is a safe, effective, cheap and reproducible method for correction of CTEV which significantly reduces the rate of extensive corrective surgeries for correction of clubfoot under 1-year age. For successful outcome and to prevent relapse, this technique must be applied strictly in accordance to the protocol and parents must be taught the importance of full compliance with bracing. Our series has a short follow up. Longer follow-up is needed for further evaluation of effectiveness of Ponseti method. </p>
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Singh, Pankaj Vir, Abdul Ghani, Tejpal Singh, Anzar Tariq Malik, and Simranpreet Singh. "Comparative analysis of correction of idiopathic congenital talipes equinovarus by conventional and accelerated Ponseti method with minimum 12 months follow up in a tertiary care hospital in North India." International Journal of Research in Medical Sciences 9, no. 5 (2021): 1296. http://dx.doi.org/10.18203/2320-6012.ijrms20211413.
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Background: Congenital talipes equinovarus varus (CTEV) is one of the most common congenital anomalies of foot and ankle affecting 1/1000 live birth approximately. With a male dominance pattern, this deformity is bilateral in 50% cases. It has four basic components: cavus, adduction, varus and equinus. Severity of clubfoot is accessed using Pirani score (0 to 6). Insights into the basic pathoanatomy of this complex 3 dimensional deformity has helped to correct it using the method given by Ignacio Ponseti, a Spanish orthopaedician, in which serial manipulations of foot are done and weekly casts are applied, followed by a tendoachilles tenotomy in selected cases to correct the equinus component which is then followed by splintage of the feet in Steenbeek splint initially for 23 hours day for 3 months and then 12 hours a day for 3 years. The most important component of this treatment is parental counselling regarding the need for compliance with treatment which is often loophole responsible for relapse in initially corrected feet.Methods: This was a prospective study including 40 patients (61 feets) of idiopathic clubfoot with age <3 month at presentation who were randomly distributed in two groups, group 1 (accelerated Ponseti casting group) in which twice weekly casts were applied and group 2 (standard Ponseti casting group) in which weekly casts were applied. Initial Pirani score was calculated in all the patients and was rechecked and documented in every successive visit. All the patients were followed upto 12 months and there was no lost to follow up in this study.Results: The mean days of plaster duration in accelerated casting group was 18.45 days as compared to 47.25 days in standard casting group (statistically significant, p value <0.05). Also, Pirani score at the end of last follow up was comparable in both the groups. Tenotomy rate was slightly higher in accelerated casting group (89.5%) as compared to standard group (85.7%) which may be attributed to higher initial Pirani score in former (5.5) as compared to later (5.0).Conclusions: Accelerated biweekly Ponseti casting reduces the overall days of treatment with similar results compared to standard weekly casting regime.
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Dr., Arisha Javed Bajwa Dr. Atika Jabeen Dr. Maria Mehmood. "A PROPORTIONAL RESEARCH TO CALCULATE EFFICIENCY OF 3 OPERATING METHODS PRACTICED IN CURE OF SEVERE GENETIC IDIOPATHIC CLUB FOOT BY MEANS OF DIMIGLIO SCORING STRUCTURE." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 12 (2018): 13644–48. https://doi.org/10.5281/zenodo.1685429.
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<strong><em>Background: </em></strong><em>Club foot, or inherited talips equinovarus, is hereditary irregularity having an occurrence of 2 in 2000 live childbirths. The irregularity is 3 dimensionl having four mechanisms together with cavus, forefoot adducton, heel varus and equinus. Sternness of CTEV is strongminded by Dimglio scoring scheme. Benevolent and reasonable procedures might be preserved conventionally but Spartan and very unadorned procedures need widespread posteromedal lenient matter release for its improvement. Posteromedal lenient matter issue might be completed doing medial Turco cut, Cincinati cut, and Cincinati cut having medial turning fasciocutanous tab. </em> <strong><em>Objective: </em></strong><em>Aim of research is to regulate efficiency of 3 kinds of operating procedures, practiced in posteromedal issue of Spartan CTEV. </em> <strong><em>Methodology: </em></strong><em>The Interventionl long term research was directed at Division of Orthopedc Surgery & Traumatlogy Mayo Hospitl Lahore for time of 1 year. Over-all 50 patents were identified as spartan CTEV and 20 situations were arbitrarily separated into 3 sets apiece. Patents remained functioned and hence continued treatment in OPD by Dimiglo scoring and wound remedial at 0, 5th and 20th week postoperatvely to control quantity of improvement. Facts were studied while practicing SPSS 20. </em> <strong><em>Results: </em></strong><em>Patents in Set A remained preserved with Cincinati with medial rotating fasciocutanous tab, in set B by means of Cincinati Method and in set C with Medial Turco Method. </em> <em>In set A, 8 (53%) situations had outstanding result despite the fact 7 (47%) situations had respectable result. In set B, 3 (18%) situations had exceptional result, 9 (60.4%) situations had decent result and 4 (28%) situations had reasonable result. In set C, not a single person of situation situation had outstanding result whereas 10 (67%) situations had decent result and 5 (35%) situations had reasonable result reliant upon Dimiglo recording. There was noteworthy variance amongst altogether sets for last result of cut form.</em> <strong><em>Conclusion: </em></strong><em>This research displayed that Cincinati having medial rotatinal fasciocutanous tab and Medial turaco cut are improved as compared Cincinati cut only and Cincinati having medial rotating fasciocutanous tab is improved as compared to equally added sets.<strong> </strong></em> <strong>Key Words:</strong><strong><em> </em></strong><em>Inherited talips equinovrus, Clubfoot, Cincinati cut, medial rotating fasciocutanous tab, Medial Turco cut.</em><em> </em>
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Dr., Amir Akram Dr. Waqas Ahmad Dr. Muhammad Ali Rathorde. "THE PROPORTIONAL RESEARCH TO CALCULATE EFFICIENCY OF THREE OPERATIONAL METHODS EXPERIENCED IN THERAPY OF SEVERE GENETIC IDIOPATHIC CLUB FOOT THROUGH DIMIGLIO SCORING STRUCTURE." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES o6, no. 03 (2019): 5933–37. https://doi.org/10.5281/zenodo.2600067.
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<strong><em>Background: </em></strong><em>Club foot, or inherited talips equinovarus, is hereditary irregularity having an occurrence of 2 in 2000 live childbirths. The irregularity is 3 dimensionl having four mechanisms together with cavus, forefoot adducton, heel varus and equinus. Sternness of CTEV is strongminded by Dimglio scoring scheme. Benevolent and reasonable procedures might be preserved conventionally but Spartan and very unadorned procedures need widespread posteromedal lenient matter release for its improvement. Posteromedal lenient matter issue might be completed doing medial Turco cut, Cincinati cut, and Cincinati cut having medial turning fasciocutanous tab.</em> <strong><em>Objective: </em></strong><em>Aim of research is to regulate efficiency of 3 kinds of operating procedures, practiced in posteromedal issue of Spartan CTEV.</em> <strong><em>Methodology: </em></strong><em>The Interventionl long term research was directed at Jinnah Hospital Lahore for time of 1 year. Over-all 50 patents were identified as spartan CTEV and 20 situations were arbitrarily separated into 3 sets apiece. Patents remained functioned and hence continued treatment in OPD by Dimiglo scoring and wound remedial at 0, 5th and 20th week postoperatvely to control quantity of improvement. Facts were studied while practicing SPSS 22.</em> <strong><em>Results: </em></strong><em>Patents in Set A remained preserved with Cincinati with medial rotating fasciocutanous tab, in set B by means of Cincinati Method and in set C with Medial Turco Method. In set A, 8 (53%) situations had outstanding result despite the fact 7 (47%) situations had respectable result. In set B, 3 (18%) situations had exceptional result, 9 (60.4%) situations had decent result and 4 (28%) situations had reasonable result. In set C, not a single person of situation situation had outstanding result whereas 10 (67%) situations had decent result and 5 (35%) situations had reasonable result reliant upon Dimiglo recording. There was noteworthy variance amongst altogether sets for last result of cut form.</em> <strong><em>Conclusion: </em></strong><em>This research displayed that Cincinnati having medial rotational fasciectomies tab and Medial turaco cut are improved as compared Cincinnati cut only and Cincinnati having medial rotating fasciectomies tab is improved as compared to equally added sets.</em> <strong>Key Words: </strong><em>Inherited talips equators, Clubfoot, Cincinnati cut, medial rotating fasciectomies tab, Medial Turco cut.</em>
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Dr., Aamir Akram Dr. Waqas Ahmed Dr. Muhammad Ali Rathore. "THE PROPORTIONAL RESEARCH TO CALCULATE EFFICIENCY OF THREE OPERATIONAL METHODS EXPERIENCED IN THERAPY OF SEVERE GENETIC IDIOPATHIC CLUB FOOT THROUGH DIMIGLIO SCORING STRUCTURE." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES o6, no. 03 (2019): 6079–83. https://doi.org/10.5281/zenodo.2602006.
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<strong><em>Background: </em></strong><em>Club foot, or inherited talips equinovarus, is hereditary irregularity having an occurrence of 2 in 2000 live childbirths. The irregularity is 3 dimensional having four mechanisms together with caves, forefoot adduction, heel varus and equinus. Sternness of CTEV is strongminded by Dimglio scoring scheme. Benevolent and reasonable procedures might be preserved conventionally but Spartan and very unadorned procedures need widespread posteromedal lenient matter release for its improvement. Posteromedial lenient matter issue might be completed doing medial Turco cut, Cincinati cut, and Cincinnati cut having medial turning fasciectomies tab.<strong>Objective: </strong>Aim of research is to regulate efficiency of 3 kinds of operating procedures, practiced in posteromedial issue of Spartan CTEV.<strong>Methodology: </strong>The Intervention long term research was directed at Jinnah Hospital Lahore for time of 1 year. Over-all 50 patents were identified as spartan CTEV and 20 situations were arbitrarily separated into 3 sets apiece. Patents remained functioned and hence continued treatment in OPD by Dimiglo scoring and wound remedial at 0, 5th and 20th week postoperatively to control quantity of improvement. Facts were studied while practicing SPSS 22.<strong>Results: </strong>Patents in Set A remained preserved with Cincinnati with medial rotating fasciectomies tab, in set B by means of Cincinati Method and in set C with Medial Turco Method. In set A, 8 (53%) situations had outstanding result despite the fact 7 (47%) situations had respectable result. In set B, 3 (18%) situations had exceptional result, 9 (60.4%) situations had decent result and 4 (28%) situations had reasonable result. In set C, not a single person of situation situation had outstanding result whereas 10 (67%) situations had decent result and 5 (35%) situations had reasonable result reliant upon Dimiglo recording. There was noteworthy variance amongst altogether sets for last result of cut form.<strong>Conclusion: </strong>This research displayed that Cincinati having medial rotational fasciectomies tab and Medial turaco cut are improved as compared Cincinati cut only and Cincinati having medial rotating fasciectomies tab is improved as compared to equally added sets.</em> <strong><em>Key Words: </em></strong><em>Inherited talips equinovrus, Clubfoot, Cincinati cut, medial rotating fasciectomies tab, Medial Turco cut.</em>
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Laloan, Richardo J., and Andreissanto C. Lengkong. "Congenital Talipes Equinovarus (CTEV)." e-CliniC 8, no. 2 (2020). http://dx.doi.org/10.35790/ecl.v8i2.30180.
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Abstract: Congenital talipes equinovarus (CTEV) is a type of foot deformities characterized with hindfoot varus, adducted metatarsus, wide arched of the foot (cavus), and equinus. Its incidence is 1.2% per 1000 births annually. Around 80% of cases occur as idiopathic type and the remaining 20% is associated with other anomaly conditions. Genetic component is considered to play a role in the occurrence of CTEV. However, up to this day, there is no exact underlying etiology that defines the exact pathogenesis of CTEV. The evolving etiology nowadays is still multifactorial. Management of CTEV varies from non-surgical treatment to surgical treatment. A number of scoring and grading using qualitative and quantitative measurement are being used nowadays to assess the severity of CTEV because this deformity needs long-term follow-up due to its tendency to relapse.Keywords: congenital talipes equinovarus, clubfoot Abstrak: Congenital talipes equinovarus (CTEV), dikenal juga dengan true clubfoot, merupakan deformitas pada kaki yang ditandai oleh adanya bentuk varus kaki belakang, adduksi metatarsus, dan adanya bentuk lengkungan kaki yang lebar (cavus) serta equinus. CTEV merupakan salah satu dari deformitas kaki pada saat lahir dengan insidensi 1,2% per 1000 kelahiran hidup per tahunnya. Pada 80% kasus terjadi secara idiopatik dan 20% dikaitkan dengan kondisi-kondisi lain. Komponen genetik diduga berperan pada CTEV, namun, sampai saat ini, belum ada etiologi pasti yang menjelaskan patogenesis CTEV. Etiologi yang berkembang sampai saat ini bersifat multifaktorial. Tatalaksana pasien CTEV bervariasi mulai dari non-operatif maupun operatif. Sejumlah pengukuran kualitatif maupun kuantitatif telah dikembangkan untuk menilai keparahan CTEV berhubung kondisi deformitas ini membutuhkan follow-up jangka panjang karena mempunyai kecenderungan untuk relaps.Kata kunci: congenital talipes equinovarus, clubfoot
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Singh, Sucheta, Chanchal Jain, and Dr Jyoti Kataria. "Evaluating Treatment Outcomes: A Review Of Ponseti, French, And Kite Approaches For Clubfoot." African Journal of Biomedical Research, 2025. https://doi.org/10.53555/ajbr.v28i2s.6343.
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Introduction : Congenital talipes equinovarus (CTEV), also known as clubfoot, is a common congenital orthopedic condition characterized by an excessive arch of the foot (equinovarus) and a high medial longitudinal arch (cavus). The cause of congenital talipes equinovarus (CTEV) is unknown. Clubfoot affects one in 1,000 babies born worldwide, and the prevalence varies by geographic region. Objective: The purpose of this review was to conduct a systematic review of the literature to learn about the conventional management techniques used in CTEV. Methodology: Without any date restriction, we conducted a February 2024–April 2024 English search on PubMed and Google Scholar. We did not omit any data sources and gave systematic reviews, meta-analyses, and clinical trials priority. Results and conclusion: Although all three methods discussed in this review showed effective results in the treatment of CTEV, the Ponseti method was comparatively better received and showed fewer relapses.
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Suhodolčan, Lovro, Karin Schara, Janez Brecelj, and Vane Antolič. "Zdravljenje idiopatskega in kompleksnega prirojenega talipes ekvinovarusa z metodo po Ponsetiju." Slovenian Medical Journal 84, no. 10 (2015). http://dx.doi.org/10.6016/zdravvestn.1002.
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Abstract:Congenital idiopathic clubfoot is a deformity typically occurring in an otherwise healthy child which occurs in 11,4 in 10.000 live births. Approximately one-half of cases present with bilateral deformity and affects boys and girls equally. Clubfoot is characterized by adduction, supination and cavus deformity of the forefoot and midfoot, varus of the heel, and a fixed plantar flexion (equinus) of the ankle. Treatment od idiopathic type of clubfoot consists of corrective manipulation and casting by the Ponseti method, where usually four to six casts are needed. Equinus is corrected with tendo Achillis tenotomy followed by foot abduction brace application.Complex type of clubfoot, which has more severe rigid deformation, is present in 6,5% of all clubfeet and is refractory to the usual corrective manipulation and casting by the Ponsetti method. Clinically, complex clubfoot is characterized as short, stubby foot, having rigid equinus, severe adduction and plantar flexion of all metatarsals, a deep crease above the heel and a transverse crease in the sole of the foot. Modified Ponsetti method for treatment of complex clubfoot consists of simultaneus correction of adduction and heel varus and subsequent cavus and rigid equinus correction. After the Achillis tendon tenotomy, modified foot abduction brace is applied, where foot is in 40° outer rotation in contrast to 70° abduction used in less rigid congenital idiopathic clubfoot. Relapse occurs in 14% and is ussually related to problems with shoe fit and patient coplience.
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Rohini kakde, Samrudhhi Gujar, and Ashish Bhagat. "Case Report on Neglected bilateral feet Congenital Talipes Equinovarus with Callosities on the lateral aspect." Journal of Pharmaceutical Negative Results, November 2, 2022, 1192–95. http://dx.doi.org/10.47750/pnr.2022.13.s07.172.
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Background: Congenital deformity of both feet is also called clubfoot. A common congenital orthopedic condition characterized by an excessively turned in the foot (equinovarus) and high medial longitudinal arch (cavus). If neglected the deformity can result in long‐term disability and pain. Interventions can be conservative such as splinting or stretching or surgical. Talipes equinovarus is one of the more common congenital abnormalities affecting the lower limb and can be challenging to manage. There is evidence for a genetic contribution to congenital talipes equinovarus etiology. Case Presentation: A 7 years old Male child came to the Pediatric department with a chief complaint of deformity of both feet since birth. No Interventions were done during the first month of the baby. And that serial casting was done on both feet for 1 year, yet no correction was observed. After 1 year of age posterior soft tissue release of the right leg. After every 10 days, serial casting was done and yet no correction was observed. Now came to the Pediatric department for further management. On arrival, a physical examination of the foot was carried out which shows swelling over the right leg along with tenderness. The Contrast Enhanced Computed Tomography was done later he was treated with antibiotics, analgesics, and antacids. Conclusion: It is a congenital deformity foot. The congenital deformity of the foot may occur lateral and bilateral. The congenital deformity of the bilateral foot is common in children. The bilateral deformity of the foot affects 80% or more. The most significant contributing component to its cause appears to be heredity. The prevalence of congenital talipes is uncommon and roughly equal in both sexes.
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Misra, Suman, Sudip Chandra Mondal, Atanu Kayal, Susmita Biswas, and Debmalaya Ghosh. "CLINICO- RADIOLOGICAL OUTCOME OF IDIOPATHIC CONGENITAL TALIPES EQUINOVARUS FOLLOWING PONSETI TECHNIQUE." GLOBAL JOURNAL FOR RESEARCH ANALYSIS, May 15, 2023, 6–8. http://dx.doi.org/10.36106/gjra/9102510.
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Introduction: Idiopathic clubfoot or congenital talipes equinovarus is the most common orthopedic congenital deformity. Club foot affects roughly one in every 1000 live births, and it is bilateral in about half of the cases. The four components of a congenital club foot are cavus, adduction, varus, and equinus. The treatment's purpose is to address four abnormalities and keep them corrected so that the patient can have a functional, pain-free plantigrade foot. Aims: To identify the minimum set of outcomes that should be collected in clinical practice and reported in research related to the care of children with idiopathic congenital talipes equinovarus (CTEV). Materials and Methods: The present study was a Observational study. This Study was conducted from 03/08/2005 to 02/08/2007 at Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences. Total 37 patients were included in this study. Result: we found that a relatively low clinical outcome as compared to ndings by other authors who have reported excellent treatment outcomes that have ranged from 82.4% to 97% and In this study 62.6% of the patients reported no pain, an evidence of good functional outcomes associated with the Ponseti conservative method of treatment compared to the surgical soft tissue release. Conclusion: The functional outcomes are equally good with the majority of patients reporting no pain, being able to wear shoes of their liking and having no limitation during walking or running. This is a sign of an improved life style and quality of life and correlates with good patient and caregiver satisfaction.
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Elif, Tuğçe Çil, Şerif Tacha, Haçik Demirci Sevada, Şaylı Uğur, and Subaşı Feryal. "A Smartphone Application Designed To Analyze Foot Deformity: A Descriptive Pilot Research (Correlation Study)." December 20, 2023. https://doi.org/10.5281/zenodo.8383284.
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<strong>Introduction:</strong> An X-ray, CT scan, or foot analysis machines are important diagnostic tools for foot deformity. In the literature, several studies have investigated their effectiveness for correct diagnose. However, these methods cannot be used in a remote manner and patients have to spend considerable amount of time and money to make physical clinical visits. <strong>Objective: </strong>We aimed to develop a low-cost, contactless system using the smartphone application to remotely evaluate foot deformity and to investigate the correlation between the smartphone application and pedographic analysis. <strong>Method:</strong> 14 individuals (28 feet) with foot deformities were included in this study. We developed a smartphone application called ‘ArdAyak’ to evaluate the foot deformities remotely. Additionally, we collected pedographic analysis reports of patients by SIDAS custom foot analysis machine in a clinical setting to investigate the correlation with ‘ArdAyak’ application. <strong>Results:</strong> According to pedographic analysis, the percentage of 1st degree pes planus was 36, the percentage of pes cavus was found to be 29. Additionally, the Pearson Correlation Coefficient showed moderate correlation between the pedographic analysis and ArdAyak app (r=.468, 95% confidence interval [CI]= (.07-.86), p<0.05). <strong>Conclusion:</strong> The smartphone app ‘‘Ardayak’’ may have the potential to be a convenient, easy-to-use, and feasible tool for the assessment of foot deformities.
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V, Pavithra, and Arun Tyagi. "AN OBSERVATIONAL STUDY OF SPECTRUM OF CONGENITAL SPINAL DEFECTS IN CHILDREN ATTENDING PAEDIATRIC OUTPATIENT OF A TERTIARY CARE HOSPITAL IN SOUTHERN INDIA." GLOBAL JOURNAL FOR RESEARCH ANALYSIS, July 15, 2022, 28–31. http://dx.doi.org/10.36106/gjra/7301059.
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Congenital anomalies in children are not infrequent and the birth defects of cardiovascular and digestive systems are the most common. Congenital spinal defects have prevalence and incidence of about 2.74% and 1-3 per 1000 live births respectively. The range of spinal defects may vary from a tuft of hair with an underlying spina bida to various types of spinal dysraphism. This observational study was undertaken to study the spectrum of neural tube defects among children attending the pediatric outpatient of a tertiary care hospital. Twenty-one children were included in the study. Fourteen infants were less than 1-year old and seven were between 2-7 years of age. Fourteen children had meningomyelocele (MMC). The commonest site was in the lumbosacral region. Seven patients of MMC had associated hydrocephalus, and seven had talipes deformity. Other accompanying defects included pes cavus, pectus carinatum, polydactyly and congenital heart defects, seen in one case each. Soft uctuant swelling over the spine, kyphoscoliosis, accid paralysis of lower extremities, and incontinence of urine were the cardinal symptoms. CT Scan and MRI in these children helped us to assess the quantum of decit involving the vertebra and spinal cord. This paper highlights the range of spinal abnormality seen in children with the similar clinical presentation, and therefore the need for neuroimaging in all cases with suspected neural tube defect (NTD) for proper management and prognostication.
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A. Alam, Mahmood. "Predictors of Success in Ponseti Casting, A Single Center Cross-sectional Study." JOURNAL OF THE BAHRAIN MEDICAL SOCIETY 35, no. 4 (2023). http://dx.doi.org/10.26715/jbms.35_4_4.
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Background: Congenital talipes equinovarus (CTEV), also known as club foot deformity, is a common deformity with an estimated incidence of around 1 in 1000 live births. The deformity consists of four components: Ankle equinus, hindfoot varus, forefoot adductus, and midfoot cavus. Various approaches exist to correct CTEV, with most authorities advocating a conservative closed reduction approach with serial casting. Objective: Pirani scoring has been shown to correlate with the severity of CTEV and has been verified to track response to casting treatment. This study aimed to identify the relationship between initial presenting Pirani scores and other factors on the final Pirani score and the need for surgical intervention for patients managed with Ponseti casting in a single-center observational study design. Methods: A total of 24 patients were followed across the duration of the study and serially assessed with the Pirani scoring system. The scores were charted and studied to determine patterns that predict the success of Ponseti casting in those children. Results: The data showed that tenotomy is most likely corrective of the deformity in those with higher PS. While the age of diagnosis and age of casting were not significantly impactful, careful follow-up and discussion of goals with the family members are essential for expected outcomes, especially for those hesitant to undergo surgical interventions and those with higher Pirani Scores. Keywords: Clubfoot; Humans; Child; Congenital equinovarus; Foot Deformities, Acquired; Foot Deformities
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Mullick, Mujibar Rahaman, and Sumanta Panja. "EVALUATION OF RESULTS OF GRADUAL DISTRACTION TECHNIQUE FOR CORRECTION AND FUNCTIONAL RECOVERY OF NEGLECTED CTEV." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, June 1, 2021, 31–33. http://dx.doi.org/10.36106/ijsr/2621178.
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INTRODUCTION: Congenital talipes equinovarus (CTEV) or clubfoot is commonest congenital foot deformity. The incidence of Congenital Idiopathic Clubfoot ranges from 0.36/1000 to 6.8/1000 in some populations and about 1.2/1000 births among Caucasians including Indians, with a 1 much higher occurrence in the affected families . More common in male (2:1). Bilateral cases account for about 50%. In unilateral cases right side affected more. The term talipes is derived from talus (ankle bone) and pes (foot). AIMS & OBJECTIVES:To assess the efcacy of gradual differential distraction with JESS as a method of treatment in neglected CTEV. Evaluation of functional recovery of neglected CTEVusing this technique. To assess the morbidity & complication of the technique. MATERIALS AND METHODS: Study area: - The study was institution based, conducted at the Orthopaedics department of I.P.G.M.E.R.& S.S.K.M. Hospital, Kolkata, a tertiary care centre catering to people of West Bengal and adjacent states of Eastern India Study population: Patients attending Orthopedics' O.P.D. of IPGMER & SSKM Hospital. Study period: From May 2016 to Oct 2017 (18 months duration) Sample size: 20 patients (24 feet) Sample design: Patient selection: RESULTS AND ANALYSIS: 2(8.3%) patients exion deformity of toes. 1(4.2%) Persitant cavus, 1(4.2%) had liniar skin necrosis, 1(4.2%) patients had pressure sore, 1(4.2%) had oedema of feet, 1(4.2%) persistent all deformity, 2(8.3%) patients had persistan tequinus, 5(20.8%) patients had persistant heel varus, 2(8.3%) patients had forfoot adduction, 3(12.5%) patients had pin tract infection and 11(45.8%) had no complication. 4(16.7%) patients had excellent functional outcome, 8(33.3%) patients had good functional outcome, 8(33.3%) patients had moderate functional outcome and 4(16.7%) patients had poor functional outcome. CONCLUSION: In our study 12(82.3%) feet had excellent to moderate result, only 4(16.7%) had poor result with limited complication. Few patients left with one or more persistent deformity but the nal outcome was functionally satisfactory. JESS is an excellent technique in the management of neglected cases of CTEV especially when it is done at an early age. Differential distraction by JESS xator for the correction of neglected idiopathic CTEV is an effective and patient-friendly method of management. Therefore the differential distraction with JESS can be considered as a treatment modality for the neglected CTEV.
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Sudan, Suraydev Aman, Saransh Bahl, Ifzal Ahmed Khan, Ankita Khajuria, Neeraj Mahajan, and Sanjeev Gupta. "Accelerated versus standard Ponseti cast in the management of idiopathic congenital talipes equinovarus at a tertiary care centre in North India: a comparative study." International Journal of Research in Orthopaedics, October 4, 2023. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20233142.
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Background: Congenital talipes equinovarus varus (CTEV) is one of the most common congenital anomalies of foot and ankle. With a male dominance pattern, this deformity is bilateral in around 50% cases. It is characterized across varying degrees and severity of components manifesting with: forefoot adductus, midfoot cavus, hindfoot varus and hindfoot equinus. Severity is accessed using Pirani score (0 to 6). Insights into the basic patho-anatomy of this complex 3-dimensional deformity has helped to correct it using the method given by Ignacio Ponseti, a Spanish orthopedician, in which serial manipulations of foot are done and weekly casts are applied, followed by a tendoachilles tenotomy in selected cases to correct the equinus component which is then followed by splintage of the feet in foot-ankle orthosis initially for 23 hours day for 3 months and then 12 hours a day for 3 years. Parental counselling regarding the importance of compliance with maintenance braces remains the most important component of treatment. Methods: This was a double blinded randomized prospective study including 40 patients with 61 feet of only idiopathic clubfoot, conducted in the department of orthopaedics, government medical college, Jammu over a period of 01 year. Results: The mean days of plaster duration in accelerated casting group was 18.45 days as compared to 47.25 days in standard casting group (statistically significant, p<0.05). Also, Pirani score at the end of last follow up was comparable in both the groups. Tenotomy rate was slightly higher in accelerated casting group (89.5%) as compared to standard group (85.7%) which may be attributed to higher initial Pirani score in former (5.5) as compared to later (5.0). Conclusions: The clubfoot in developing countries has social stigma, the early and the promising result of the accelerated method of Ponseti casting has a dramatic impact on both parents and the treating orthopaedician. The accelerated Ponseti casting has remarkably reduced the overall duration of the treatment of Ponseti casting without any complication.
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Thier, Zachary T., Zachary Seymour, Tyler A. Gonzalez, and J. Benjamin Jackson. "Hallux Valgus Deformities: Preferred Surgical Repair Techniques and All-Cause Revision Rates." Foot & Ankle Specialist, October 25, 2021, 193864002110403. http://dx.doi.org/10.1177/19386400211040344.
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Introduction Hallux valgus is a commonly treated condition by foot and ankle surgeons with more than 200 different described correction techniques. Recurrence rates range from 5% to 50%, with increasing support of the theory that arthrodesis procedures may have a lower recurrence rate than osteotomies. Arthrodesis procedures to the first metatarsophalangeal (MTP) joint or tarsometatarsal (TMT) joint for correction of hallux valgus deformity are becoming more commonly utilized. The purpose of this study is to investigate the surgical incidence and revision rates of hallux valgus deformities corrected by arthrodesis compared to osteotomy in the state of South Carolina. Methods The South Carolina Revenue and Fiscal Affairs Office was queried from 2000 to 2017 to identify all surgically treated hallux valgus deformities. Data extraction included patient demographics, ICD-9 diagnoses, CPT procedure codes, and dates of surgery. A logistic regression model was used for statistical inference. Results A total of 22 199 feet had surgical treatment for hallux valgus during this time period, with 20 422 (92.0%), 592 (2.7%), and 1185(5.3%) receiving an osteotomy, arthrodesis, or other procedure at initial treatment, respectively. There was an all-cause revision rate of 5.6% in the osteotomy group and 6.4% in the arthrodesis group. Demographic factors such as female sex, white race, and surgery pre-2010 were associated with higher revision rates. Multiple comorbidities were correlated with higher revision rates such as tobacco use, hypothyroidism, osteoarthritis, recurrent dislocations, hallux rigidus, lesser toe deformities, metatarsus varus, and talipes cavus. Conclusion Despite the recent increase in arthrodesis procedures for the treatment of hallux valgus deformity, our results suggest that osteotomy procedures are more commonly performed and there is no difference in all-cause revision surgery. However, there are multiple patient demographics and comorbidities that are associated with higher rates of revision surgery and should be considered and discussed during the preoperative planning period. Level of Evidence: Level IV
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S. Loya, Lavakumar, and Prajwal G. "A PROSPECTIVE STUDY OF TREATMENT OF IDIOPATHIC CLUBFOOT (CTEV) USING PONSETI METHOD." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, May 1, 2023, 59–63. http://dx.doi.org/10.36106/ijsr/2102297.
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Background: Congenital talipes equina varus (CTEV) or clubfoot is one of the commonest orthopedic problems seen in infants. CTEV is the term used to describe as a deformity involving in utero malalignment of the calcaneo-talar-navicular complex of the foot. The incidence is 1 in 1000 live births with male to female ratio is 3:1 and is bilateral in 50% of the infants. Idiopathic congenital talipes equinovarus (clubfoot) is a complex deformity that is difcult to correct. The deformity has four components - cavus, adductus, varus equinus and internal tibial torsion. The goal of treatment is to reduce or eliminate these deformities so that the patient has a functional pain-free foot with good mobility and does not need to wear modied shoes. Most orthopaedic surgeons agree that the initial treatment should be non-surgical and should start as soon as possible after birth. Many methods have been described, most of which involve serial manipulation and casting. If left untreated, clubfoot inevitably leads to signicant long-term disability, deformity and pain. Although various surgical techniques are used to correct clubfoot, such as soft tissue releases or bony procedures in older children, currently, conservative management is the preferred option in infants. The technique of gradual and simultaneous correction of all deformities of CTEV using manipulation and casting at weekly interval described by Dr.Ignacio V. Ponseti has gained wide acceptance throughout the world. In this study, we have attempted to analyse the functional outcome of Idiopathic clubfoot using Ponseti's technique in children. To study the outcome following the use of Ponseti technique Objectives: for idiopathic clubfoot. To evaluate the efcacy of the Ponseti method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot. Children with congenital Source Of Data: idiopathic clubfoot consulted at Basaweshwar teaching and general hospital; attached to Mahadevappa Rampure Medical College, Kalaburagi. Method Of Collection Of Data: The study proposes to include patients with congenital clubfoot examined according to the protocol. Associated deformities are noted.The severity of foot deformity was assessed according to Pirani scoring system before and after treatment.Serial toe to groin castings will be applied. The number of casts required to obtain correction and the need for tenotomy was also recorded. Patients will be reviewed at weekly intervals till all deformities except equinus are corrected and once in a month following tenotomy and the use of orthotics. Results: Average number of cast applied before equinus correction in 0-6month age group was 6.3 and 7-12month age group was 6.7 average number ofnal cast used in 0-6months of age was 7.3 and in 7-12months it was 7.7 .Average number of cast increases with increase in age and Pirani severity score 98% of patient had no residual deformity at the time of follow up 2% had relapse at the time of nal follow up. There was a signicant reduction in the PSS after each cast and these difference in PSS between before equinus correction and after the last cast were signicant with the p value of <0.001. Ponseti technique of treatment for Clubfoot deformity is very effective, a Interpretation / Conclusion: nd produces painless, mobile, exible, plantigrade and cosmetically acceptable foot without need of any major surgical intervention