predictive factors for tenotomy in ponseti method for idiopathic clubfoot

Autor: Reza Hassanzadeh, Ali Mandi, Rahim Dargahi, Ali Tabrizi, Hasan Taleb
Rok vydání: 2020
Předmět:
Zdroj: Medical Journal of Tabriz University of Medical Sciences and Health Services. 42:433-439
ISSN: 2008-160X
1608-5671
DOI: 10.34172/mj.2020.065
Popis: Background: Clubfoot occurs in approximately 1 in 1000 live births and is one of the most congenital birth defects. The Non operative technique for the treatment of idiopathic club foot is described by Ponesti as a popular method. Tenotomy is on integral step of this method. The purpose of this study was to evaluation of predictive factors for tonotomy at the initiation of the Ponesti treatment. Methods: In this descriptive cross-sectional study, all patients with idiopathic clubfoot under the age of 6 months who had referred to the orthopedic clinic of Imam Khomeini Hospital in Urmia from April 1 to March 2017, and were treated by pontic method, were included in the study. Parametric statistical tests such as chi-square and t-test were used. The significance level for all tests was below 0.05. All analyzes were performed using SPSS software version 21. Results: Tenotomies were performed in 39 feet of 52 feet (75%). Of 22 feet with initial Pirani scores ≥ 5.0, 95.5% required a tonotomy. Of 11 feet with an initial scores≤2.5, only 18.2% required a tenotomy. There was a significant difference between the need for tenotomy and severity of the deformity at onset of treatment (P
Databáze: OpenAIRE