Management of Clubfoot Relapses With the Ponseti Method: Results of a Survey of the POSNA Members
| Autor: | Pooya Hosseinzadeh, Lori A. Dolan, Lewis E. Zionts, Jose A. Morcuende, Gary M. Kiebzak |
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| Rok vydání: | 2019 |
| Předmět: |
Clubfoot
medicine.medical_specialty Time Factors Heel medicine.medical_treatment Tendon Transfer Tenotomy Achilles Tendon 03 medical and health sciences 0302 clinical medicine Recurrence Surveys and Questionnaires Deformity medicine Humans Initial treatment Orthopedics and Sports Medicine 030212 general & internal medicine Practice Patterns Physicians' Child 030222 orthopedics Braces business.industry Infant General Medicine Evidence-based medicine medicine.disease Combined Modality Therapy Ponseti method Surgery Casts Surgical medicine.anatomical_structure Child Preschool Retreatment Pediatrics Perinatology and Child Health Orthopedic surgery Physical therapy Manipulation Orthopedic medicine.symptom business |
| Zdroj: | Journal of Pediatric Orthopaedics. 39:38-41 |
| ISSN: | 0271-6798 |
| Popis: | BACKGROUND Despite the high rate of initial success using the Ponseti method to manage idiopathic clubfoot deformity, relapse continues to be a problem. We surveyed the Pediatric Orthopedic Society of North America (POSNA) members about their experience with relapsed deformity following the initial correction of clubfeet. METHODS We created a survey to focus on the management of clubfeet after initial correction of deformity. The survey included questions on postcorrective bracing, clinical findings used to identify relapse, the observed frequency of relapsed deformity, and how relapses are managed. The questionnaire was approved by the POSNA Evidence Based Committee and was sent electronically to all POSNA members. RESULTS We received responses from 321 members (26%). Of those, 94% were fellowship trained in pediatric orthopaedics. The Ponseti method was used by 98% of respondents. The Mitchell-Ponseti orthosis was most commonly used (51%), followed by the Denis-Browne brace (25%). The duration of bracing used varied among members with 23% recommending only 2 years, 33% recommending 3 years, and 34% recommending 4 years. A tight heel cord was felt to be the first sign of relapse by 59% of respondents, and dynamic supination by 30%. The rate of relapse was observed to be |
| Databáze: | OpenAIRE |
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