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Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method

BACKGROUND: Idiopathic clubfoot, also referred to as congenital talipes equinovarus (CTEV), is one of the most common lower limb deformities observed in newborns, leading to significant functional impairment if untreated. The aims of this study were to (1) assess the developmental milestones in pati...

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Autores principales: Pavone, Vito, Sapienza, Marco, Vescio, Andrea, Caldaci, Alessia, McCracken, Kathryn Louise, Canavese, Federico, Testa, Gianluca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9448959/
https://www.ncbi.nlm.nih.gov/pubmed/36090581
http://dx.doi.org/10.3389/fped.2022.869401
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author Pavone, Vito
Sapienza, Marco
Vescio, Andrea
Caldaci, Alessia
McCracken, Kathryn Louise
Canavese, Federico
Testa, Gianluca
author_facet Pavone, Vito
Sapienza, Marco
Vescio, Andrea
Caldaci, Alessia
McCracken, Kathryn Louise
Canavese, Federico
Testa, Gianluca
author_sort Pavone, Vito
collection PubMed
description BACKGROUND: Idiopathic clubfoot, also referred to as congenital talipes equinovarus (CTEV), is one of the most common lower limb deformities observed in newborns, leading to significant functional impairment if untreated. The aims of this study were to (1) assess the developmental milestones in patients with CTEV treated by the Ponseti technique, and to compare them to the unaffected controls; (2) evaluate the possible correlation between developmental milestones, severity of the deformity, and number of casts. MATERIALS AND METHODS: Seventy-nine subjects were divided into two groups, CTEV group (43 patients; 72 feet) and control group (36 patients). Age, sex, affected side, attainment of babbles (BAL), independent gait (IG), and combined word (CW) were recorded for all patients. In patients with CTEV, Pirani Score (PRS), number of casts (NC), and clinical outcome were collected according to the Clubfoot Assessment Protocol (CAP), The American Orthopedic Foot and Ankle Score (AOFAS), and Foot and Ankle Disability Index (FADI). RESULTS: IG was achieved later later than the unaffected controls by 12/43 patients (27.9%) with CTEV and 3/36 patients in the control group (8.3%) (p = 0.04) and in a mean time of 16.8 ± 3.5 months and 13.2 ± 2.7 months, respectively (p = 0.001). In the CTEV group the mean value of CAP was 98.6 ± 4.7, of AOFAS of 98.4 ± 4.4 and of FADI equal to 99.9 ± 0.44. There were no statistically significant differences for BAL and CW; and no correlation with PRS, NC, or clinical score were identified. CONCLUSION: CTEV patients managed by the Ponseti technique achieve independent gait later than the unaffected controls, although they do so within the age limit of developmental. On the other hand, the Ponseti treatment has no impact on attainment of language development.
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spelling pubmed-94489592022-09-08 Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method Pavone, Vito Sapienza, Marco Vescio, Andrea Caldaci, Alessia McCracken, Kathryn Louise Canavese, Federico Testa, Gianluca Front Pediatr Pediatrics BACKGROUND: Idiopathic clubfoot, also referred to as congenital talipes equinovarus (CTEV), is one of the most common lower limb deformities observed in newborns, leading to significant functional impairment if untreated. The aims of this study were to (1) assess the developmental milestones in patients with CTEV treated by the Ponseti technique, and to compare them to the unaffected controls; (2) evaluate the possible correlation between developmental milestones, severity of the deformity, and number of casts. MATERIALS AND METHODS: Seventy-nine subjects were divided into two groups, CTEV group (43 patients; 72 feet) and control group (36 patients). Age, sex, affected side, attainment of babbles (BAL), independent gait (IG), and combined word (CW) were recorded for all patients. In patients with CTEV, Pirani Score (PRS), number of casts (NC), and clinical outcome were collected according to the Clubfoot Assessment Protocol (CAP), The American Orthopedic Foot and Ankle Score (AOFAS), and Foot and Ankle Disability Index (FADI). RESULTS: IG was achieved later later than the unaffected controls by 12/43 patients (27.9%) with CTEV and 3/36 patients in the control group (8.3%) (p = 0.04) and in a mean time of 16.8 ± 3.5 months and 13.2 ± 2.7 months, respectively (p = 0.001). In the CTEV group the mean value of CAP was 98.6 ± 4.7, of AOFAS of 98.4 ± 4.4 and of FADI equal to 99.9 ± 0.44. There were no statistically significant differences for BAL and CW; and no correlation with PRS, NC, or clinical score were identified. CONCLUSION: CTEV patients managed by the Ponseti technique achieve independent gait later than the unaffected controls, although they do so within the age limit of developmental. On the other hand, the Ponseti treatment has no impact on attainment of language development. Frontiers Media S.A. 2022-08-24 /pmc/articles/PMC9448959/ /pubmed/36090581 http://dx.doi.org/10.3389/fped.2022.869401 Text en Copyright © 2022 Pavone, Sapienza, Vescio, Caldaci, McCracken, Canavese and Testa. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Pavone, Vito
Sapienza, Marco
Vescio, Andrea
Caldaci, Alessia
McCracken, Kathryn Louise
Canavese, Federico
Testa, Gianluca
Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method
title Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method
title_full Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method
title_fullStr Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method
title_full_unstemmed Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method
title_short Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method
title_sort early developmental milestones in patients with idiopathic clubfoot treated by ponseti method
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9448959/
https://www.ncbi.nlm.nih.gov/pubmed/36090581
http://dx.doi.org/10.3389/fped.2022.869401
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