Does an overcorrected clubfoot caused by surgery or by the Ponseti method behave differently?
| Autor: | Chakravarthy U. Dussa, Albert Fujak, Harald Böhm, Leonhard Döderlein, Raimund Forst |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Clubfoot medicine.medical_specialty Databases Factual Biophysics Flatfeet 03 medical and health sciences 0302 clinical medicine Subtalar joint medicine Deformity Humans Orthopedic Procedures Orthopedics and Sports Medicine Range of Motion Articular Child Gait Retrospective Studies Foot business.industry Rehabilitation 030229 sport sciences medicine.disease Ponseti method Surgery body regions Treatment Outcome medicine.anatomical_structure Case-Control Studies Coronal plane Female Ankle medicine.symptom business Range of motion 030217 neurology & neurosurgery |
| Zdroj: | Gait & Posture. 77:308-314 |
| ISSN: | 0966-6362 |
| DOI: | 10.1016/j.gaitpost.2020.02.012 |
| Popis: | Background Overcorrection is a recognized problem following surgical treatment of congenital clubfoot. Recently this complication has also been mentioned following Ponseti treatment. Research question Do overcorrected clubfeet (OCCF) caused by surgery behave differently from those caused by Ponseti treatment in terms of segmental motion of the feet and show differences in the severity of deformity on X-rays? Methods Children between 7 and 12 years with OCCF were included in this study. Depending on the aetiology causing them, the feet were divided into 2 groups (Ponseti and peritalar release surgery). 25 typically developing children served as controls. All subjects were subjected to clinical and radiological examination and 3-Dimensional gait analysis using the Oxford Foot Model. Results Thirty-two children with OCCF, of these 18 feet in the surgical and 14 feet in the Ponseti group, were included in the study. No radiological differences were seen in the flatfoot parameters between OCCF groups except in the calcaneal inclination angle that was more pathological in the Ponseti group. The clinical ankle plantar flexion was significantly reduced in the surgical group. During walking the range motion of the hindfoot in the frontal plane was significantly reduced in surgically treated feet compared to the Ponseti group. The other parameters did not show any significant difference between groups. Significance The overcorrected clubfeet following surgery and Ponseti showed similar appearance and showed no significant differences in 11/12 radiological parameters. The segmental motion of the feet showed no significant differences between groups except the in the range of motion of the subtalar eversion. A considerable subtalar joint motion was present even in the surgical group. These findings might help plan the treatment of these feet. |
| Databáze: | OpenAIRE |
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