Journal article
Effect of cast removal timing in the correction of idiopathic clubfoot by the Ponseti method
The Iowa orthopaedic journal, Vol.27, pp.24-27
2007
PMCID: PMC2150656
PMID: 17907426
Appears in Diamond Open Access
Abstract
Clubfoot correction by the Ponseti method is highly successful with an average of 5 casts in the majority of patients. However, early experience with the technique demonstrated that many cases required more than 5 casts for correction. The purpose of this study was to evaluate the effects of timing of cast removal before subsequent manipulation and casting in the correction of club-foot using the Ponseti method. We reviewed 90 patients (129 clubfeet) treated between December 2000 and June 2006. Two groups were evaluated. Group A: 44 patients (63 clubfeet) had their cast removed by the parents the night before the visit. Group B: 46 patients (66 feet) had their cast removed in the clinic just before the new casts were applied. Overall, full correction was obtained in 128 (99%) clubfeet, with only 1 clubfoot requiring surgical release. Group A required an average of 10 casts (range: 4 to 22), compared to 5 casts (range: 4 to 10) in Group B (p = 0.001). Average time for correction was 13 weeks in Group A and 6 weeks in Group B (p = 0.001). There were 20 relapses (22%), 12 (27%) in Group A and 8 (17%) in Group B (p = 0.42). In conclusion, removing the cast just before the new cast is applied significantly decreases the number of casts required for correction and shortens the length of treatment.
Details
- Title: Subtitle
- Effect of cast removal timing in the correction of idiopathic clubfoot by the Ponseti method
- Creators
- Gaston Terrazas-Lafargue - The Ponseti Clubfoot Treatment Center, University of Iowa, Iowa City, Iowa, USAJose A Morcuende
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.27, pp.24-27
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 17907426
- PMCID
- PMC2150656
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 2007
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984040468202771
Metrics
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