Journal article
Joint hyperlaxity prevents relapses in clubfeet treated by Ponseti method—preliminary results
International orthopaedics, Vol.42(10), pp.2437-2442
10/2018
DOI: 10.1007/s00264-018-3934-7
PMID: 29732492
Abstract
The aim of the study was to evaluate the role of joint hyperlaxity (by Beighton score) as a protective factor for clubfoot relapse.Patients with idiopathic clubfoot treated with the Ponseti method between January 2004 and December 2012, without other congenital foot deformity, and not previously treated by open surgery were included in either the Relapse group (n = 23) if it was a clubfoot relapse or the Control group (n = 19) if no relapse was noted. Joint laxity was evaluated using the Beighton score at the latest follow-up against the Normal group (n = 22, children matched by sex and age without clubfoot deformity).We found a significantly higher joint laxity in the Control group (4.58, 95% confidence interval [CI]: 2.1–7.06) as compared to the Relapse (3.17, 95% CI: 1.53–4.81, p = 0.032) and Normal (3.14, 95% CI: 1.78–4.5, p = 0.03) groups. The univariate logistic regression showed a 5.28-times increase in the risk of relapse for a Beighton score lower than 4/9 points (odds ratio = 5.28; 95% CI = 1.29–21.5; p = 0.018).Joint hyperlaxity could be a protective factor for clubfoot relapse.
Details
- Title: Subtitle
- Joint hyperlaxity prevents relapses in clubfeet treated by Ponseti method—preliminary results
- Creators
- Dan Cosma - 0000 0004 0571 5814 grid.411040.0 Department of Orthopaedics, Traumatology and Paediatric Orthopaedics University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca RomaniaAndrei Corbu - 0000 0004 0571 5814 grid.411040.0 Department of Orthopaedics, Traumatology and Paediatric Orthopaedics University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca RomaniaDan Nistor - 0000 0004 0571 5814 grid.411040.0 Department of Orthopaedics, Traumatology and Paediatric Orthopaedics University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca RomaniaAdrian Todor - 0000 0004 0571 5814 grid.411040.0 Department of Orthopaedics, Traumatology and Paediatric Orthopaedics University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca RomaniaMadalina Valeanu - 0000 0004 0571 5814 grid.411040.0 Department of Medical Informatics and Biostatistics University of Medicine and Pharmacy “Iuliu Hatieganu” 6 Pasteur st Cluj-Napoca RomaniaJose Morcuende - 0000 0004 1936 8294 grid.214572.7 Carver College of Medicine University of Iowa Iowa City IA USASorin Man - 0000 0004 0571 5814 grid.411040.0 Department of Paediatrics University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca Romania
- Resource Type
- Journal article
- Publication Details
- International orthopaedics, Vol.42(10), pp.2437-2442
- Publisher
- Springer Berlin Heidelberg; Berlin/Heidelberg
- DOI
- 10.1007/s00264-018-3934-7
- PMID
- 29732492
- ISSN
- 0341-2695
- eISSN
- 1432-5195
- Language
- English
- Date published
- 10/2018
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984040369802771
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