Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?

PURPOSE: To point out the need to take into account the dysplastic nature of tarsal bones when treating idiopathic clubfoot (CF). METHODS: Review the published evidence on the developmental abnormalities of tarsal bones in idiopathic CF. RESULTS: The literature review provides abundant proof of the...

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Detalles Bibliográficos
Autores principales: Hemo, Y., Gigi, R., Wientroub, S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Editorial Society of Bone & Joint Surgery 2019
Materias:
Perspective
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598050/
https://www.ncbi.nlm.nih.gov/pubmed/31312266
http://dx.doi.org/10.1302/1863-2548.13.190080
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author Hemo, Y.
Gigi, R.
Wientroub, S.
author_facet Hemo, Y.
Gigi, R.
Wientroub, S.
author_sort Hemo, Y.
collection PubMed
description PURPOSE: To point out the need to take into account the dysplastic nature of tarsal bones when treating idiopathic clubfoot (CF). METHODS: Review the published evidence on the developmental abnormalities of tarsal bones in idiopathic CF. RESULTS: The literature review provides abundant proof of the existence of delayed appearance and slower development of ossification centres of tarsal bones in idiopathic clubfoot. CONCLUSION: Gentle manipulations and casting are the cornerstone of the Ponseti method. The biological response of all foot elements is critical for a successful outcome. Delayed ossification and abnormal development of tarsal bones in idiopathic CF may affect the results. Development of a personalized tailored bracing protocol based on severity assessment and response to casting treatment will improve results and quality of care in CF management. LEVEL OF EVIDENCE: V
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spelling pubmed-65980502019-07-16 Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method? Hemo, Y. Gigi, R. Wientroub, S. J Child Orthop Perspective PURPOSE: To point out the need to take into account the dysplastic nature of tarsal bones when treating idiopathic clubfoot (CF). METHODS: Review the published evidence on the developmental abnormalities of tarsal bones in idiopathic CF. RESULTS: The literature review provides abundant proof of the existence of delayed appearance and slower development of ossification centres of tarsal bones in idiopathic clubfoot. CONCLUSION: Gentle manipulations and casting are the cornerstone of the Ponseti method. The biological response of all foot elements is critical for a successful outcome. Delayed ossification and abnormal development of tarsal bones in idiopathic CF may affect the results. Development of a personalized tailored bracing protocol based on severity assessment and response to casting treatment will improve results and quality of care in CF management. LEVEL OF EVIDENCE: V The British Editorial Society of Bone & Joint Surgery 2019-06-01 /pmc/articles/PMC6598050/ /pubmed/31312266 http://dx.doi.org/10.1302/1863-2548.13.190080 Text en Copyright © 2019, The author(s) http://creativecommons.org/licenses/by-nc/4.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Perspective
Hemo, Y.
Gigi, R.
Wientroub, S.
Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?
title Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?
title_full Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?
title_fullStr Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?
title_full_unstemmed Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?
title_short Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the Ponseti method?
title_sort delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing protocol when using the ponseti method?
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598050/
https://www.ncbi.nlm.nih.gov/pubmed/31312266
http://dx.doi.org/10.1302/1863-2548.13.190080
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AT gigir delayedossificationandabnormaldevelopmentoftarsalbonesinidiopathicclubfootshoulditaffectbracingprotocolwhenusingtheponsetimethod
AT wientroubs delayedossificationandabnormaldevelopmentoftarsalbonesinidiopathicclubfootshoulditaffectbracingprotocolwhenusingtheponsetimethod

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