Clinical,radiological, pedobarographic,and quality of life outcomes of the Ponseti treatment for clubfoot: a prospective study |
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| Affiliation: | 1. Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran;2. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran;3. Department of Pediatric Surgery and Orthopedics, Children''s Medical Center, Tehran University of Medical Sciences, Tehran, Iran;1. Department of Orthopedics and Traumatology, St.-Antonius-Hospital Kleve, Kleve, Germany;2. Department of Orthopedics, Xpert Orthopedics and Specialized Centre of Orthopedic Research and Education (SCORE), Amsterdam, The Netherlands;3. Department of Orthopedics, Amsterdam University Medical Center, Amsterdam, The Netherlands;4. Department of Orthopedics, Former Slotervaart Hospital, Amsterdam, The Netherlands;1. Orthopädische Klinik & Poliklinik, Universitätsmedizin Rostock, Doberaner Str. 142, 18057 Rostock, Germany;2. Bundeswehr Medical Center Hohe Düne, Hohe Düne 30, 18119 Rostock, Germany;3. Clinic for Pediatrics and Adolescent Medicine I, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, 24105 Kiel, Germany;4. Zentrum für Sportmedizin der Bundeswehr, Dr.-Rau-Allee 32, 48231 Warendorf, Germany;1. Thessaloniki Minimally Invasive Surgery (The-MIS) Orthopaedic Center, St. Luke''s Hospital, Thessaloniki, Greece;2. Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar;3. Department of Anatomy and Surgical Anatomy, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece;1. Department of Orthopaedics and Traumatology, Hospital de la Samaritana, Carrera 8 #0-29 Sur, Santa Fé, Bogotá, Cundinamarca, Bogotá, Colombia;2. Departament of Internal Medicine, Hospital de la Samaritana, Carrera 8 #0-29 Sur, Santa Fé, Bogotá, Cundinamarca, Bogotá, Colombia;3. Universidad de la Sabana, Hospital de la Samaritana, Carrera 8 #0-29 Sur, Santa Fé, Bogotá, Cundinamarca, Bogotá, Colombia;1. University of Tunis El Manar, Faculty of Medicine of Tunis, Tunis, Tunisia;2. Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia;3. Rheumatology Department, Mohamed Kassab National Institute, La Manouba, Tunisia |
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| Abstract: | BackgroundTalipes equinovarus, also known as clubfoot, is a congenital anomaly that affects one newborn per 1000 live births. Its standard treatment strategy is Ponseti casting management. This study aims to report the long-term outcomes of the Ponseti treatment in Iran.MethodsA prospective cohort study was enrolled to evaluate clinical outcomes, radiological results, pedobarographic measurements, and quality of life after the Ponseti treatment in patients with clubfoot who were followed for at least five years.ResultsIn this study, 25 clubfeet of 18 patients were included. Significant reductions in Pirani, Dimeglio, and CAP scores, improved ankle dorsiflexion, and acceptable pedobarographic indices were observed in this study. From the radiological evaluation indices, the calcaneal pitch and lateral talus-first metatarsal angles were significantly reduced. After five years of treatment, patients’ quality of life was favorable, which was better in females. This study showed that the results of the Ponseti treatment remained acceptable after five years.ConclusionsThe Ponseti management for clubfoot in the long term appears to maintain significant improvements. However, the recurrence rate – albeit without disruption to daily activities – cannot be ignored. |
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| Keywords: | Clubfoot Musculoskeletal Diseases Patient Outcome Assessment Ponseti Treatment Outcome |
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