Ponseti method treatment of neglected idiopathic clubfoot: Preliminary results of a multi-center study in Nigeria

AIM: To evaluate the effectiveness of the Ponseti method for initial correction of neglected clubfoot cases in multiple centers throughout Nigeria. METHODS: Patient charts were reviewed through the International Clubfoot Registry for 12 different Ponseti clubfoot treatment centers and 328 clubfeet (...

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Detalles Bibliográficos
Autores principales: Adegbehingbe, Olayinka O, Adetiloye, Adeoye J, Adewole, Ladipo, Ajodo, Dennis U, Bello, Nosirudeen, Esan, Oluwadare, Hoover, Alex C, Ior, James, Lasebikan, Omolade, Ojo, Owolabi, Olasinde, Anthony, Songden, David, Morcuende, Jose A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Retrospective Study
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565494/
https://www.ncbi.nlm.nih.gov/pubmed/28875128
http://dx.doi.org/10.5312/wjo.v8.i8.624
Descripción
Sumario:AIM: To evaluate the effectiveness of the Ponseti method for initial correction of neglected clubfoot cases in multiple centers throughout Nigeria. METHODS: Patient charts were reviewed through the International Clubfoot Registry for 12 different Ponseti clubfoot treatment centers and 328 clubfeet (225 patients) met inclusion criteria. All patients were treated by the method described by Ponseti including manipulation and casting with percutaneous Achilles tenotomy as needed. RESULTS: A painless plantigrade foot was obtained in 255 feet (78%) without the need for extensive soft tissue release and/or bony procedures. CONCLUSION: We conclude that the Ponseti method is a safe, effective and low-cost treatment for initial correction of neglected idiopathic clubfoot presenting after walking age. Long-term follow-up will be required to assess outcomes.

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