4,199 results match your criteria Clubfoot


Prevalence of Hip Dysplasia and Associated Conditions in Children Treated for Idiopathic Early-onset Scoliosis-Don't Just Look at the Spine.

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Shriners Hospitals for Children Salt Lake City.

Background: Hip dysplasia, congenital muscular torticollis, plagiocephaly, and metatarsus adductus are known to be associated. The etiology of infantile idiopathic scoliosis and its association with the aforementioned conditions is unknown. This study reviews a series of infantile scoliosis patients to address this gap. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001390DOI Listing

Parental internet search in the field of pediatric orthopedics.

Eur J Pediatr 2019 Apr 10. Epub 2019 Apr 10.

Center for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Baldingerstraße, 35041, Marburg, Germany.

Parents whose children are affected by systemic diseases, anomalies, deformities, or further orthopedic defective positions use the Internet to increase their knowledge. However, there have been few studies that focus, as this one does, on Internet enquiries done before the parents contact the pediatric orthopedic surgeon. This study analyzed data gathered through a standardized questionnaire on general habits of Internet use, parents' hardware, age, and educational background of the parents. Read More

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http://dx.doi.org/10.1007/s00431-019-03369-wDOI Listing
April 2019
1 Read

The "Gastrocnemius-Achilles Tendon-Calcaneus Complex": Different Responses after Percutaneous versus Vulpius Achilles Tendon Lengthening in New Zealand White Rabbits.

Indian J Orthop 2019 Mar-Apr;53(2):333-339

Department of Orthopedics, St. Roch Hospital and University of Montpellier, Faculty of Medicine, Montpellier, France.

Background: This study aimed to describe the clinical, radiological, biomechanical, electromyographic, and histoenzymologic modifications in the "Gastrocnemius-Achilles Tendon-Calcaneus complex" caused by percutaneous Achilles tendon lengthening (PATL) versus Vulpius Achilles tendon lengthening (VATL) in New Zealand White (NZW) rabbits.

Materials And Methods: Eight female NZW rabbits were used at 7 months of age. Two rabbits were euthanized before surgery for anatomical dissection, three underwent PATL (two bilateral and one unilateral), and the three others underwent VATL (two bilateral and one unilateral). Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_397_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415558PMC

A comparison study on hindfoot correction, Achilles tendon length and thickness between clubfoot patients treated with percutaneous Achilles tendon tenotomy versus casting alone using Ponseti method.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019839126

2 Department of Biomedical Imaging, University Malaya Medical Centre, Kuala Lumpur, Malaysia.

Purpose:: To compare the hindfoot correction using clinical and ultrasonography assessment in clubfoot patients undergoing Achilles tendon tenotomy with patients corrected with casting alone.

Method:: A prospective observational study on idiopathic clubfoot patients less than 3 months old. Clinical assessment was done using hindfoot Pirani score and measurement of ankle dorsiflexion. Read More

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http://dx.doi.org/10.1177/2309499019839126DOI Listing
April 2019
1 Read

Accelerated Ponseti method: First experiences in a more convenient technique for patients with severe idiopathic club feet.

Foot Ankle Surg 2019 Mar 16. Epub 2019 Mar 16.

Faculty of Medicine and Health Sciences, An-Najah National University, Palestine. Electronic address:

Background: Congenital Idiopathic Talipes Equinovarus (CTEV), or clubfoot, is a complex deformity that involves pathological anatomy in the foot with ankle equinus, hindfoot varus, midfoot cavus and forefoot adductus [1]. Universal agreement is established about Ponseti technique as the initial management for this deformity. This preliminary study aims to investigate the possibility of having a braceable foot through a proposed accelerated Ponseti method by which, manipulations, 5 castings and Achilles tendon tenotomy are implemented in a week. Read More

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http://dx.doi.org/10.1016/j.fas.2019.03.003DOI Listing
March 2019
1 Read

A novel 3D evaluation method for assessing bone to bone relationships in clubfoot.

Eur Rev Med Pharmacol Sci 2019 Mar;23(5):1882-1890

School of Biomedical Engineering, FEIT, University of Technology Sydney, Ultimo, NSW, Australia.

Objective: Clubfoot is a complex congenital three-dimensional foot deformity, which affects 150,000-200,000 newborn babies annually around the world. A good understanding of the alignment of the two osseous columns and the lower leg of the ankle and foot complex is essential for evaluating the severity of clubfoot. The purposes of this study were to (1) develop an automated three-dimensional (3D) surface model of severe clubfoot based on two-dimensional (2D) slices of computed tomography (CT) images, (2) evaluate the alignment of foot bones relative to the ankle in severe clubfoot, and (3) examine the structural changes in the shape of the clubfoot. Read More

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http://www.europeanreview.org/article/17225
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http://dx.doi.org/10.26355/eurrev_201903_17225DOI Listing
March 2019
2 Reads

Clinical outcomes and risk-factor analysis of the Ponseti Method in a low-resource setting: Clubfoot care in Haiti.

PLoS One 2019 14;14(3):e0213382. Epub 2019 Mar 14.

Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.

Purpose: The Ponseti Method has dramatically altered the management of clubfoot, with particular implications for limited-resource settings. We sought to describe outcomes of care and risk factors for sub-optimal results using the Ponseti Method in Haiti.

Methods: We conducted a records review of patients presenting from 2011-2015 to a CURE Clubfoot clinic in Port-au-Prince, Haiti. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213382PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417735PMC
March 2019
7 Reads

Evaluation of a simple tool to assess the results of Ponseti treatment for use by clubfoot therapists: a diagnostic accuracy study.

J Foot Ankle Res 2019 4;12:14. Epub 2019 Mar 4.

4Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Science, University of Oxford, Windmill Road, Headington, Oxford, OX3 7HE UK.

Background: We aimed to develop and evaluate a tool for clubfoot therapists in low resource settings to assess the results of Ponseti treatment of congenital talipes equinovarus, or clubfoot, in children of walking age.

Method: A literature review and a Delphi process based on the opinions of 35 Ponseti trainers in Africa were used to develop the Assessing Clubfoot Treatment (ACT) tool and score. We followed up children with clubfoot from a cohort treated between 2011 and 2013, in 2017. Read More

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http://dx.doi.org/10.1186/s13047-019-0323-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399889PMC

Manual therapy for the pediatric population: a systematic review.

BMC Complement Altern Med 2019 Mar 13;19(1):60. Epub 2019 Mar 13.

Parker University, 2540 Walnut Hill Lane, Dallas, TX, 75229, USA.

Background: This systematic review evaluates the use of manual therapy for clinical conditions in the pediatric population, assesses the methodological quality of the studies found, and synthesizes findings based on health condition. We also assessed the reporting of adverse events within the included studies and compared our conclusions to those of the UK Update report.

Methods: Six databases were searched using the following inclusion criteria: children under the age of 18 years old; treatment using manual therapy; any type of healthcare profession; published between 2001 and March 31, 2018; and English. Read More

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https://bmccomplementalternmed.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12906-019-2447-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417069PMC
March 2019
15 Reads

Poor Evertor Muscle Activity is a Predictor of Recurrence in Idiopathic Clubfoot Treated by the Ponseti Method: A Prospective Longitudinal Study With a 5-Year Follow-up.

J Pediatr Orthop 2019 Mar 6. Epub 2019 Mar 6.

St George's Hospital NHS Trust.

Background: After successful primary correction of the deformity in idiopathic clubfoot with the Ponseti method, recurrence has been reported to affect up to 40% of children. So far, it has been difficult to predict which feet are at risk of recurrence, despite numerous studies investigating various potential risk factors. The foot abduction brace (FAB) has been the standard of care in preventing recurrence but, even with excellent compliance, recurrences still occur. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001357DOI Listing
March 2019
4 Reads

Distal Arthrogryposis with Impaired Proprioception and Touch: Description of an Early Phenotype in a Boy with Compound Heterozygosity of Mutations and Review of the Literature.

Mol Syndromol 2019 Jan 13;9(6):287-294. Epub 2018 Nov 13.

Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria.

The recessive -associated disease, distal arthrogryposis with impaired proprioception and touch (DAIPT), is characterized by hypotonia, perinatal respiratory distress, significantly delayed motor milestones, and progressive symptoms of distal arthrogryposis and scoliosis. Here, we describe the youngest patient with DAIPT to date, who, at the age of 3.5 years, did not show a single clinical sign of distal arthrogryposis or contractures, but had a history of bilateral clubfoot operations. Read More

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http://dx.doi.org/10.1159/000494451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381910PMC
January 2019

Long-term outcome after Lambrinudi arthrodesis: How they're doing after three decades.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019826492

Department of Orthopaedics and Traumatology, Duchess of Kent Children's Hospital, Hong Kong.

Objective:: The aim of the study is to investigate the long-term outcome of patients who received Lambrinudi arthrodesis for severe equinovarus deformities.

Methods:: This is a single-center, retrospective study of patients who received Lambrinudi triple arthrodesis of the foot. Both clinical and radiological information were analyzed. Read More

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http://dx.doi.org/10.1177/2309499019826492DOI Listing
February 2019
2 Reads

ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?

Acta Ortop Bras 2019 Jan-Feb;27(1):8-11

Masaryk University, Medical Faculty, Faculty Hospital, Children´s Medical Centre (CMC), Department of Pediatric Surgery, Orthopedics and Traumatology (DPSOT), Brno, Czech Republic.

Objective: The aim of this study was to verify whether the Pirani and Dimeglio clinical scoring systems could predict results of Ponseti therapy.

Methods: Forty-seven patients with clubfoot deformities treated with the Ponseti method were enrolled in the study. Clinical evaluation with the Pirani and Dimeglio scoring systems was performed before the treatment and after the second cast fixation. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1413-785220192701189801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362704PMC
February 2019
8 Reads

EVALUATION OF KITE AND PONSETI METHODS IN THE TREATMENT OF IDIOPATHIC CONGENITAL CLUBFOOT.

Acta Ortop Bras 2018 ;26(6):366-369

Hospital Martagão Gesteira, Salvador, BA, Brazil.

Objective: Clubfoot is one of the most common congenital deformities affecting the musculoskeletal system. The main conservative treatment for clubfoot includes the Ponseti's and Kite's methods. This study aimed to perform a comparative evaluation of the effectiveness of the Ponseti and Kite approaches for the conservative treatment of clubfoot. Read More

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http://dx.doi.org/10.1590/1413-785220182606183925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362682PMC
January 2018
11 Reads

The congenital clubfoot - immunohistological analysis of the extracellular matrix.

Orthop Res Rev 2018 23;10:55-62. Epub 2018 Aug 23.

Holger Mellerowicz, Clinic for Pediatric Orthopedics and Traumatology, Helios Klinikum Emil von Behring, Berlin, Germany.

Purpose: Congenital clubfoot is one of the most common limb disorders in humans and its etiology is still unclear. In order to better understand the pathogenesis of patients with primary clubfoot, we examined whether there are quantitative changes in the extracellular matrix (ECM; based on common interstitial collagens [C] like CI and CIII, microfilamentous collagens like CVI, noncollagenous proteins like undulin, and enzymes like matrixmetalloproteinase [MMP]-2 and tissue inhibitor of matrixmetalloproteinase [TIMP]-2 that are known to play a role in fibrogenesis and fibrolysis) of muscles involved in the foot deformity of patients with primary clubfoot corresponding to fibrosis.

Patients And Methods: Thirty patients (age ranging from 4 months to 5 years and 7 months) with primary clubfoot were examined (23 male and 7 female patients), among whom 18 patients were affected on one side and 12 affected on both sides. Read More

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http://dx.doi.org/10.2147/ORR.S156449DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209367PMC
August 2018
2 Reads

Congenital orthopaedic limp deformities in Corpus Hippocraticum.

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

History of Medicine, Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

During the fifth century BC in ancient Greece during the eve of orthopaedics, the Hippocratic School of Medicine diagnosed a series of congenital limb deformities. Congenital dislocation of the arm, elbow, wrist, hip, knee, tarsotibial joint, apex leg, as well as talipes valgus (clubfoot), congenital clavicle fractures, and thumb malfunction were all discussed by Hippocrates and his followers. Ancient Greek medico-philosophers, fond of a "perfect" human body, proposed an immediate non-interventional approach, while archaic orthotics and specialized footwear were suggested. Read More

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http://link.springer.com/10.1007/s00264-019-04308-y
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http://dx.doi.org/10.1007/s00264-019-04308-yDOI Listing
February 2019
7 Reads

Factors affecting compliance to hospital visit among clubfoot patients: A cross-sectional study from a tertiary referral clubfoot clinic in the developing country.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019825598

2 Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.

Purpose:: Ensuring compliance to treatment protocol, especially regular visit to treating facility, is an important aspect of clubfoot management. However, the factors affecting compliance to follow-up schedule are myriad.

Methods:: A cross-sectional study was undertaken among caregivers of clubfoot patients from a tertiary referral clubfoot clinic in a developing country. Read More

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http://journals.sagepub.com/doi/10.1177/2309499019825598
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http://dx.doi.org/10.1177/2309499019825598DOI Listing
February 2019
5 Reads

Incidence and risk factors for iatrogenic distal tibia/fibula fracture during Ponseti technique of clubfoot treatment.

J Pediatr Orthop B 2019 Feb 6. Epub 2019 Feb 6.

Lady Hardinge Medical College, New Delhi.

The incidence and risk factors of distal tibia/fibula fracture, an uncommon complication during Ponseti manipulation, are unknown. We evaluated 222 virgin clubfeet of patients aged less than 3 years for fractures of distal tibia/fibula. Incidence rate was found to be 1. Read More

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http://Insights.ovid.com/crossref?an=01202412-900000000-9894
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http://dx.doi.org/10.1097/BPB.0000000000000595DOI Listing
February 2019
7 Reads
0.656 Impact Factor

Congenital clubfoot in Europe: A population-based study.

Am J Med Genet A 2019 Apr 10;179(4):595-601. Epub 2019 Feb 10.

Paediatric Department, Hospital Lillebaelt Kolding, Kolding, Denmark.

We aimed to assess prevalence, birth outcome, associated anomalies and prenatal diagnosis of congenital clubfoot in Europe using data from the EUROCAT network, and to validate the recording of congenital clubfoot as a major congenital anomaly by EUROCAT registries. Cases of congenital clubfoot were included from 18 EUROCAT registries covering more than 4.8 million births in 1995-2011. Read More

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http://dx.doi.org/10.1002/ajmg.a.61067DOI Listing
April 2019
19 Reads

Is the same brace fit for all? The length of abduction bar in Steenbeek foot abduction brace for Indian children-A pilot study.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):209-212. Epub 2017 Oct 28.

Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi-110031, India.

Purpose: We measured the foot size and shoulder width in North Indian children with idiopathic clubfoot and calculated the corresponding metal rod length for abduction brace. The differences in the foot length in unaffected, unilateral and bilateral clubfeet were also measured.

Patient And Methods: Two sets of measurements were taken on each child: feet size and shoulder width. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09765662173015
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http://dx.doi.org/10.1016/j.jcot.2017.10.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349614PMC
October 2017
2 Reads

Simultaneous lateral column shortening along with differential distraction by Joshi's external stabilization system for rigid neglected clubfoot correction.

J Pediatr Orthop B 2019 Jan 29. Epub 2019 Jan 29.

Depatrment of Orthopaedics, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India.

Correction of rigid clubfoot in an older child by gradual differential distraction using the Ilizarov's device or Joshi's external stabilization system (JESS) is a time-consuming procedure. We simultaneously combined the lateral column shortening by cuboid wedge resection along with the differential distraction by application of JESS fixator for the treatment of severe, rigid, neglected, or relapsed congenital talipes equinovarus (CTEV) foot deformity in 30 feet in 18 children with mean age of 5.3 years and mean follow-up of 27. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000594DOI Listing
January 2019

Novel contribution to clubfoot pathogenesis: The possible role of extracellular matrix proteins.

J Orthop Res 2019 Mar 12;37(3):769-778. Epub 2019 Feb 12.

First Faculty of Medicine, Department of Orthopaedics, University Hospital Bulovka, Charles University, Prague, Czech Republic.

Idiopathic pes equinovarus (clubfoot) is a congenital deformity of the feet and lower legs. Clubfoot belongs to a group of fibro-proliferative disorders but its origin remains unknown. Our study aimed to achieve the first complex proteomic comparison of clubfoot contracted tissue of the foot (medial side; n = 16), with non-contracted tissue (lateral side; n = 13). Read More

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http://dx.doi.org/10.1002/jor.24211DOI Listing
March 2019
2 Reads

Correction: .

Authors:

BMJ Glob Health 2018 14;3(6):e000023corr1. Epub 2018 Dec 14.

[This corrects the article DOI: 10.1136/bmjgh-2015-000023.]. Read More

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http://dx.doi.org/10.1136/bmjgh-2015-000023corr1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304091PMC
December 2018

Classic metaphyseal lesion acquired during physical therapy.

Clin Imaging 2019 Mar - Apr;54:100-102. Epub 2018 Nov 20.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.

A classic metaphyseal lesion (CML) is highly specific for nonaccidental trauma. Missing CMLs can be devastating to the child as the child can continue to be exposed to inflicted trauma. Yet, there are rare case reports on CMLs that occur due to birth trauma, IV line placement, and treatment for clubfoot. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.007DOI Listing
November 2018
4 Reads

Dimeglio Score Predicts Treatment Difficulty During Ponseti Casting for Isolated Clubfoot.

J Pediatr Orthop 2019 May/Jun;39(5):e402-e405

Department of Orthopaedic Surgery, Children's Hospital Colorado, Aurora, CO.

Background: The Dimeglio score (DS) is widely used to assess clubfoot severity, but its ability to predict long-term outcomes following Ponseti treated isolated clubfoot (IC) is controversial. This study tested the association between the initial DS and its individual parameters with the number of Ponseti clubfoot casts required to achieve correction and the rate of early recurrence following treatment.

Methods: Data were retrospectively collected from patients who underwent treatment of IC between March 2012 and March 2015 and were followed for ≥2 years. Read More

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http://Insights.ovid.com/crossref?an=01241398-900000000-9860
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http://dx.doi.org/10.1097/BPO.0000000000001325DOI Listing
January 2019
19 Reads

Paediatric orthopaedics through paintings.

J Child Orthop 2018 Dec;12(6):647-651

Department of Orthopaedics and Traumatology, Sivas Numune Hospital, Sivas, Turkey.

Purpose: Some famous artistic representations created throughout the centuries can reveal a hidden or mysterious diagnosis of some diseases and these paintings have always drawn the attention of physicians interested in art. Artistic illustration of a child with a malformation or disability can reflect the characteristic appearance of a disease and its historic perspective. Some articles have revealed the definite diagnosis of a child with achondroplasia through portraits of dwarfs and some studies have discussed the secret diagnosis of a crippled child with Pes Equinovarus or poliomyelitis. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/1863-2548.12.
Publisher Site
http://dx.doi.org/10.1302/1863-2548.12.180141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293333PMC
December 2018
8 Reads

Relapse following use of Ponseti method in idiopathic clubfoot.

J Child Orthop 2018 Dec;12(6):566-574

Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.

Purpose: We assessed the pattern of relapse as well as the correlation between the number of casts required for correction and Pirani and Dimeglio scores at presentation, and age at presentation. We hypothesized that the Ponseti method would be effective in treatment of relapsed clubfoot as well.

Methods: We evaluated 115 idiopathic clubfeet in 79 children presenting with relapse following treatment by the Ponseti method. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/1863-2548.12.
Publisher Site
http://dx.doi.org/10.1302/1863-2548.12.180117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293330PMC
December 2018
4 Reads

Prenatal Diagnosis and Management of Ectopia Cordis: Varied Presentation Spectrum.

Fetal Pediatr Pathol 2019 Jan 2:1-11. Epub 2019 Jan 2.

a Department of Obstetrics and Gynecology, Istanbul Faculty of Medicine , Istanbul University , Istanbul , Turkey.

Background: Ectopia cordis (EC) is a congenital anomaly associated with heart defects and extracardiac malformations.

Objectives: We determined the various presentations of EC diagnosed in our center between 2010 and 2017.

Results: Seven fetuses from six pregnancies with EC were detected, five during the first trimester. Read More

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https://www.tandfonline.com/doi/full/10.1080/15513815.2018.1
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http://dx.doi.org/10.1080/15513815.2018.1556367DOI Listing
January 2019
10 Reads

[Data analysis of 8 113 cases of limb deformities corrected by external fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1241-1248

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China.

Objective: To analyze the data of external fixation instruments (including Ilizarov instruments) used by QIN Sihe orthopaedic surgical team in the treatment of limb deformities in the past 30 years, and to explore the indications for the application of modern external fixation techniques in the correction of limb deformities and individual device configuration selection strategy.

Methods: According to QIN Sihe orthopaedic surgical team, the use of external fixator between January 1988 and December 2017 was analyzed retrospectively. The total use of external fixation and the proportion of different external fixators were analyzed in gender, different operation time, different age, different parts, and different diseases. Read More

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http://dx.doi.org/10.7507/1002-1892.201807055DOI Listing
October 2018
4 Reads

Neurodevelopmental difficulties negatively affect health-related quality of life in children with idiopathic clubfoot.

Acta Paediatr 2018 Dec 27. Epub 2018 Dec 27.

Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet and Child and Adolescent Psychiatry, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.

Aim: To study health-related quality of life (HRQoL) in children with idiopathic clubfoot (IC) and the influence of sex, clubfoot laterality and neurodevelopmental difficulties (NDD) on HRQoL.

Methods: A cross-sectional questionnaire-based study in Stockholm and Skåne Counties, Sweden, of 106 children with IC born 2004-2007 (mean 9.4 ± 0. Read More

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http://dx.doi.org/10.1111/apa.14709DOI Listing
December 2018
1 Read

A comparison of outcome measures used to report clubfoot treatment with the Ponseti method: results from a cohort in Harare, Zimbabwe.

BMC Musculoskelet Disord 2018 Dec 22;19(1):450. Epub 2018 Dec 22.

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, UK.

Background: There are various established scoring systems to assess the outcome of clubfoot treatment after correction with the Ponseti method. We used five measures to compare the results in a cohort of children followed up for between 3.5 to 5 years. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-018-2365-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303847PMC
December 2018
11 Reads

[Clubfoot in adult patients treated with tibiocalcaneal arthrodesis: about two cases (3 feet)].

Pan Afr Med J 2018 20;30:222. Epub 2018 Jul 20.

CTGB-CHN/Faculty of Medicine of Nouakchott, Mauritania.

Inveterate clubfoot (inveterate talipes equinovarus, ITEV) is a vicious attitude of the foot which doesn't rest on the floor through its normal base of support but weight is thrown to the outer side of the foot and to the foot point. When this vicious attitude persists a long time, it results in severe osteoarticular deformities in adults. Fixed ITEV is a good indication for tibiocalcaneal arthrodesis. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.222.15297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295309PMC
January 2019

A new unilateral abduction orthosis for Ponseti-treated clubfoot: A cohort study to assess compliance.

Prosthet Orthot Int 2018 Dec 17:309364618814866. Epub 2018 Dec 17.

2 Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, UK.

Background:: The Ponseti method for treating congenital talipes equinovarus requires an orthosis to maintain correction after manipulation and casting, typically the 'boots and bar'. Non-compliance with the orthosis increases the risk of recurrent deformity. This study investigates a new orthosis, the abduction dorsiflexion mechanism. Read More

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http://dx.doi.org/10.1177/0309364618814866DOI Listing
December 2018
8 Reads

Correlation of Foot Bimalleolar Angle and Ultrasonography in Assessing the Severity of Club Foot in Neonates Treated by the Ponseti Method.

Malays Orthop J 2018 Nov;12(3):14-18

Department of Orthopaedics, University College of Medical Sciences, Delhi, India.

Correlation of Pirani score and foot bimalleolar (FBM) angle has been used in few studies but correlation of FBM angle with ultrasonography has never been evaluated so they are being correlated in assessing the severity of clubfoot in neonates treated by Ponseti method. Thirty-two feet with congenital talipes equinovarus (CTEV) deformity in neonates were prospectively treated by the Ponseti method. FBM angle and ultrasound parameters were measured three times i. Read More

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http://dx.doi.org/10.5704/MOJ.1811.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287136PMC
November 2018
2 Reads

Interobserver Reliability of Pirani Clubfoot Severity Scoring between an Orthopedic Surgeon, a Resident Doctor, and a Nonmedical Counsellor at a Clubfoot Clinic.

Indian J Orthop 2018 Nov-Dec;52(6):645-650

Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.

Background: Ponseti method is the gold standard treatment for idiopathic congenital clubfoot. Pirani clubfoot severity score is a vital tool in assessing treatment of clubfoot. This study determines whether, after a short training in the Pirani scoring, a nonmedical personnel can be as accurate as a doctor in assessing the degree of deformity in clubfoot. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_10_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241062PMC
December 2018
1 Read

Functional Outcomes Following Treatment for Clubfoot: Ten-Year Follow-up.

J Bone Joint Surg Am 2018 Dec;100(23):2015-2023

Movement Science Lab (K.A.J., A.L.E., and W.R.S.) and Department of Orthopaedics (L.A.K.), Texas Scottish Rite Hospital for Children, Dallas, Texas.

Background: The purpose of this study was to assess function, at the age of 10 years, of children initially treated nonoperatively for clubfoot with either the Ponseti or French physiotherapy program and to compare outcomes in feet that had undergone only nonoperative treatment with those that required subsequent surgery.

Methods: Gait analysis, isokinetic ankle strength, parent-reported outcomes, and daily step activity data were collected when patients who had been treated for idiopathic clubfoot reached the age of 10 years. Patients who had undergone only nonoperative treatment were compared with those who subsequently underwent extra-articular surgery or intra-articular surgery (posterior release or posteromedial release). Read More

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http://Insights.ovid.com/crossref?an=00004623-201812050-0000
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http://dx.doi.org/10.2106/JBJS.18.00317DOI Listing
December 2018
13 Reads

Outcomes of the Ponseti Method for Untreated Clubfeet in Nepalese Patients Seen Between the Ages of One and Five Years and Followed for at Least 10 Years.

J Bone Joint Surg Am 2018 Dec;100(23):2004-2014

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: To our knowledge, there are no reports of the Ponseti method initiated after walking age and with >10 years of follow-up. Our goal was to report the clinical findings and patient-reported outcomes for children with a previously untreated idiopathic clubfoot who were seen when they were between 1 and 5 years old, were treated with the Ponseti method, and had a minimum follow-up of 10 years.

Methods: A retrospective review of medical records was supplemented by a follow-up evaluation of physical findings (alignment and range of motion) and patient-reported outcomes using the Oxford Ankle Foot Questionnaire for Children (OxAFQ-C). Read More

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http://Insights.ovid.com/crossref?an=00004623-201812050-0000
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http://dx.doi.org/10.2106/JBJS.18.00445DOI Listing
December 2018
23 Reads

Rapid decrease of cast-induced forces during the treatment of clubfoot using the Ponseti method.

Bone Joint J 2018 Dec;100-B(12):1655-1660

Department of Orthopaedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Aims: The Ponseti method is an effective evidence-based treatment for clubfoot. It uses gentle manipulation to adjust the position of the foot in serial treatments towards a more physiological position. Casting is used to hold the newly achieved position. Read More

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http://dx.doi.org/10.1302/0301-620X.100B12.BJJ-2018-0721.R1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369541PMC
December 2018
1 Read

[Clubfoot Therapy in Accordance with Ponseti - Current Standard].

Z Orthop Unfall 2018 Nov 27. Epub 2018 Nov 27.

Centrum für Muskuloskeletale Chirurgie, Abteilung für Kinder- und Neuroorthopädie, Charité - Universitätsmedizin Berlin, gemeinsames Mitglied der Freien Universität Berlin, Humboldt-Universität zu Berlin, und Berlin Institute of Health.

This manuscript evaluates the recent standard concept for clubfoot treatment. With regard to the history of clubfoot therapy and the return to conservative methods, the focus is laid on Ponseti's treatment concept. Due to its development according to the precise analysis of the pathoanatomy, the practical principle is simple and easy to learn and consists basically of two redression maneuvers, percutaneous achillotenotomy, and boots and bar abduction treatment. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0762-1241
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http://dx.doi.org/10.1055/a-0762-1241DOI Listing
November 2018
16 Reads

First reported adult patient with TARP syndrome: A case report.

Am J Med Genet A 2018 Dec 21;176(12):2915-2918. Epub 2018 Nov 21.

Research and Knowledge Center in Sensory Genetics, Department of Clinical Genetics, Aalborg University Hospital, Aalborg, Denmark.

TARP syndrome (talipes equinovarus, atrial septal defect, Robin sequence, and persistence of the left superior vena cava) is a rare X-linked syndrome often resulting in pre- or post-natal lethality in affected males. In 2010, RBM10 was identified as the disease-causing gene, and we describe the first adult patient with TARP syndrome at age 28 years, hereby expanding the phenotypic spectrum. Our patient had Robin sequence, atrial septal defect, intellectual disability, scoliosis, and other findings previously associated with TARP syndrome. Read More

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http://dx.doi.org/10.1002/ajmg.a.40638DOI Listing
December 2018
34 Reads

The Ponseti method in children with clubfoot after walking age - Systematic review and metanalysis of observational studies.

PLoS One 2018 20;13(11):e0207153. Epub 2018 Nov 20.

Children's Orthopaedics and Reconstruction Group, Orthopaedics and Traumatology Unit, State Hospital of São Paulo, São Paulo, SP, Brazil.

Background: The prevalence of untreated congenital clubfoot among children older than walking age is higher in developing countries due to limited resources for early care after birth. The Ponseti method represents an intervention option for older, untreated children.

Methods: A metanalysis was conducted of observational studies selected through a systematic review of articles included in electronic databases (Medline, Scopus, Embase, Lilacs, and the Cochrane Library) until June 2017. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207153PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245511PMC
November 2018
11 Reads

Infant male with TARP syndrome: Review of clinical features, prognosis, and commonalities with previously reported patients.

Am J Med Genet A 2018 Dec 18;176(12):2911-2914. Epub 2018 Nov 18.

Division of Neonatal Medicine, Mayo Clinic, Rochester, Minnesota.

TARP syndrome (talipes equinovarus, atrial septal defect, Robin sequence, and persistent left superior vena cava) is a rare X-linked condition. As more patients are identified through genetic testing, it is increasingly clear that the original TARP acronym does not fully describe the complete phenotypic spectrum of this syndrome. The presented patient had genetically confirmed TARP syndrome and demonstrated new findings of hydronephrosis and hemodynamically significant hypertrophic obstructive cardiomyopathy. Read More

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http://doi.wiley.com/10.1002/ajmg.a.40645
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http://dx.doi.org/10.1002/ajmg.a.40645DOI Listing
December 2018
13 Reads

First trimester physiological development of the fetal foot position using three-dimensional ultrasound in virtual reality.

J Obstet Gynaecol Res 2019 Feb 18;45(2):280-288. Epub 2018 Nov 18.

Department of Obstetrics and Gynecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.

Aim: In anatomic studies of the embryo, it has been established that during the development of the lower limb, several changes in foot position can be observed defined as a temporary 'physiological clubfoot'. The aim of this study was to develop and test a measurement tool for objective documentation of the first trimester foot position in vivo and made an attempt to create a chart for first trimester foot position.

Methods: We developed a virtual orthopedic protractor for measuring foot positioning using three-dimensional virtual reality visualization. Read More

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http://dx.doi.org/10.1111/jog.13862DOI Listing
February 2019
7 Reads

Tissue Expansion for Severe Foot and Ankle Deformities: A 16-Year Review.

Plast Surg (Oakv) 2018 Nov 9;26(4):244-249. Epub 2018 Jan 9.

Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Tissue expansion in the lower extremity is controversial, with studies reporting complication rates as high as 83%. Few studies have looked at tissue expansion prior to orthopaedic correction of severe foot and ankle deformities, and those available are restricted to clubfoot in the pediatric population. Here, we report the largest case series on the use of tissue expanders for the reconstruction of severe foot and ankle deformity and the only report in adults. Read More

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http://dx.doi.org/10.1177/2292550317749510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236506PMC
November 2018
17 Reads

Development and validation of a delayed presenting clubfoot score to predict the response to Ponseti casting for children aged 2-10.

Strategies Trauma Limb Reconstr 2018 Nov 15;13(3):171-177. Epub 2018 Nov 15.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.

The aim of the study was to develop a simple and reliable clinical scoring system for delayed presenting clubfeet and assess how this score predicts the response to Ponseti casting. We measured all elements of the Diméglio and the Pirani scoring systems. To determine which aspects were useful in assessing children with delayed presenting clubfeet, 4 assessors examined 42 feet (28 patients) between the ages of 2-10 years. Read More

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http://link.springer.com/10.1007/s11751-018-0324-z
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http://dx.doi.org/10.1007/s11751-018-0324-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249145PMC
November 2018
13 Reads

A new case report of severe mucopolysaccharidosis type VII: diagnosis, treatment with haematopoietic cell transplantation and prenatal diagnosis in a second pregnancy.

Ital J Pediatr 2018 Nov 16;44(Suppl 2):128. Epub 2018 Nov 16.

Clinica Pediatrica, Fondazione MBBM, Università Milano-Bicocca, Monza, Italy.

A new patient with severe mucopolysaccharidosis (MPS) type VII is reported. Non-immune hydrops fetalis (NIHF) was diagnosed during pregnancy. At birth, he showed generalized hydrops and dysmorphic features typical of MPS. Read More

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https://ijponline.biomedcentral.com/articles/10.1186/s13052-
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http://dx.doi.org/10.1186/s13052-018-0566-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238262PMC
November 2018
11 Reads
1.240 Impact Factor

Quantifying joint stiffness in clubfoot patients.

Clin Biomech (Bristol, Avon) 2018 Dec 27;60:185-190. Epub 2018 Oct 27.

Department of Orthopaedic Surgery, Catharina Hospital Eindhoven, Postbus 1350, 5602 ZA Eindhoven, The Netherlands; Orthopaedic Center Máxima, Máxima Medical Center, Postbus 90052, 5600 PD Eindhoven, The Netherlands.

Background: In clinical practice, clubfeet feel stiffer compared to healthy feet. Furthermore, the clinical impression is that stiffer clubfeet have a higher tendency to relapse. Until now, no objective measure has been available to determine the stiffness of clubfeet. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2018.10.022DOI Listing
December 2018
1 Read