Ponseti method treatment of neglected idiopathic clubfoot: Preliminary results of a multi-center study in Nigeria
| Autor: | Dennis U Ajodo, Olayinka O. Adegbehingbe, James Ior, Alex C Hoover, Owolabi Dele Ojo, Jose A. Morcuende, David Songden, Nosirudeen Bello, Ladipo Adewole, Anthony Olasinde, Oluwadare Esan, Adeoye J Adetiloye, Omolade Lasebikan |
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| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
congenital hereditary and neonatal diseases and abnormalities 030222 orthopedics medicine.medical_specialty business.industry Idiopathic clubfoot Nigeria humanities Ponseti method Walking age 03 medical and health sciences 0302 clinical medicine Retrospective Study Multi center study Physical therapy medicine Orthopedics and Sports Medicine 030212 general & internal medicine Neglected clubfoot business |
| Zdroj: | World Journal of Orthopedics |
| ISSN: | 2218-5836 |
| Popis: | AIM To evaluate the effectiveness of the Ponseti method for initial correction of neglected clubfoot cases in multiple centers throughout Nigeria. METHODS Patient charts were reviewed through the International Clubfoot Registry for 12 different Ponseti clubfoot treatment centers and 328 clubfeet (225 patients) met inclusion criteria. All patients were treated by the method described by Ponseti including manipulation and casting with percutaneous Achilles tenotomy as needed. RESULTS A painless plantigrade foot was obtained in 255 feet (78%) without the need for extensive soft tissue release and/or bony procedures. CONCLUSION We conclude that the Ponseti method is a safe, effective and low-cost treatment for initial correction of neglected idiopathic clubfoot presenting after walking age. Long-term follow-up will be required to assess outcomes. |
| Databáze: | OpenAIRE |
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