Identification and treatment of residual and relapsed idiopathic clubfoot in 88 children

Acta Orthopaedica
Jurre H StoutenM C Marieke Van Der Steen

Abstract

Background and purpose - The Ponseti treatment is successful in idiopathic clubfoot. However, approximately 11-48% of all clubfeet maintain residual deformities or relapse. Early treatment, which possibly reduces the necessity for additional surgery, requires early identification of these problematic clubfeet. We identify deformities of residual/relapsed clubfeet and the treatments applied to tackle these deformities in a large tertiary clubfoot treatment center. Patients and methods - Retrospective chart review of patients who visited our clinic between 2012 and 2015 focused on demographics, deformities of the residual/relapsed clubfoot, and applied treatment. Residual deformities were defined as deformities that were never fully corrected and needed additional treatment. We defined relapse as any deformity of the clubfoot reoccurring, after initial successful treatment, with necessity for additional treatment. Results - We identified 33 patients with residual and 55 patients with relapsed clubfeet. In both groups decreased dorsal flexion and adduction were the most often registered deformities. Furthermore, often equinus/decreased dorsiflexion, active supination, and varus occurred. In more than half, typical profiles of comb...Continue Reading

References

Jan 9, 2004·The Journal of Bone and Joint Surgery. American Volume·Matthew B DobbsChristina A Gurnett
Jun 22, 2006·Clinical Orthopaedics and Related Research·Ignacio V PonsetiJose A Morcuende
Jun 11, 2010·Foot and Ankle Clinics·Michael G Uglow, Harish V Kurup
Sep 14, 2011·The Journal of Bone and Joint Surgery. British Volume·C R JowettM Ramachandran
May 21, 2013·American Journal of Medical Genetics. Part a·Martha M WerlerSusan T Mahan
Aug 21, 2013·Indian Journal of Orthopaedics·Atul Bhaskar, Piyush Patni
Nov 22, 2015·Foot and Ankle Clinics·Christof Radler, Gabriel T Mindler
Apr 23, 2016·Journal of Pediatric Orthopedics. Part B·Hosam E MatarNeeraj K Garg
Sep 24, 2016·Journal of Pediatric Orthopedics·Dahang ZhaoJie Zhu
Feb 9, 2017·Journal of Pediatric Orthopedics·Pooya HosseinzadehJose Morcuende
Mar 8, 2017·Acta Orthopaedica·Arnold T BesselaarKoert N J Burger

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Citations

Jul 3, 2018·Journal of Pediatric Orthopedics. Part B·Arnold T BesselaarMarieke van der Steen
Mar 25, 2020·Journal of Pediatric Orthopedics·Gabriel T MindlerChristof Radler
Jun 20, 2020·Journal of Pediatric Orthopedics·Matthew J SiebertB Stephens Richards
Dec 3, 2020·Journal of Pediatric Orthopedics·Caroline M TougasLewis E Zionts

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