Ponseti Idiopathic and Nonidiopathic Clubfoot Correction With Secondary Surgeries

被引:4
作者
Ishizuka, Toby [1 ,2 ]
Hung, Yun-Yi [3 ]
Weintraub, Miranda Ritterman [4 ]
Kaiser, Scott P. [4 ]
Williams, Mitzi L. [1 ,2 ]
机构
[1] Kaiser Oakland Med Ctr, Kaiser San Francisco Bay Area Foot, Oakland, CA 94611 USA
[2] Kaiser Oakland Med Ctr, Ankle Residency Program, Oakland, CA 94611 USA
[3] Kaiser Permanente Northern Calif, Div Res, Oakland, CA USA
[4] Kaiser Oakland Med Ctr, 3600 Broadway Ave, Oakland, CA 94611 USA
关键词
clubfoot surgery; nonidiopathic clubfoot; Ponseti method; recurrent clubfoot; TALIPES EQUINOVARUS; MANAGEMENT; CLUBFEET; ARTHROGRYPOSIS; ETIOLOGY; RELEASE;
D O I
10.1053/j.jfas.2020.09.020
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The Ponseti method has revolutionized clubfoot treatment for not only idiopathic clubfoot but also non-idiopathic clubfoot. This study aimed to validate the existing literature with respect to the Ponseti method serving as first line treatment for clubfoot. The purpose of this study was to compare clubfoot type and recurrence with secondary surgical procedures following Ponseti method. Kaiser Permanente Northern California database was queried to identify clubfoot children under 3 years old with a consecutive 3-year membership. Associated comorbidities and operative procedure codes were identified. Chart review was performed on all surgical clubfoot patients who com-pleted Ponseti method. Patients' average age at time of surgery, frequency of surgeries, and types of procedures performed were recorded. A logistic regression analysis assessed the adjusted association between surgery status and clubfoot type. Clubfoot incidence was about 1 in 1000 live births. Of the 375 clubfoot children, 334 (89%) were idiopathic and 41 (11%) were non-idiopathic. In the total study population, 82% (n = 309) patients maintained Pon-seti correction without a secondary surgery; 66 patients (18%) underwent subsequent secondary surgeries. The non-idiopathic clubfoot underwent surgery more frequently compared to idiopathic clubfoot patients (41.5% vs 14.7%, respectively, p = .0001). Non-idiopathic clubfoot children underwent surgery at a younger age. This study validates the Ponseti method is the first line treatment for clubfoot correction despite etiology. However, patients with recurrent clubfoot may require secondary surgery following Ponseti method. Clubfoot recurrence surveil-lance is key for identifying early symptomatic recurrence in order to minimize foot rigidity and the need for osse-ous procedures. Published by Elsevier Inc. on behalf of the American College of Foot and Ankle Surgeons.
引用
收藏
页码:742 / 746
页数:5
相关论文
共 50 条
[31]   Comparison of Surgeon and Physiotherapist-Directed Ponseti Treatment of Idiopathic Clubfoot [J].
Janicki, Joseph A. ;
Narayanan, Unni G. ;
Harvey, Barbara J. ;
Roy, Anvesh ;
Weir, Shannon ;
Wright, James G. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2009, 91A (05) :1101-1108
[32]   Persistent clubfoot deformity following treatment by the Ponseti method [J].
Chu, Alice ;
Lehman, Wallace B. .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2012, 21 (01) :40-46
[33]   Comparison of Dimeglio and Pirani score in predicting number of casts and need for tenotomy in clubfoot correction using the Ponseti method [J].
Lampasi, Manuele ;
Abati, Caterina Novella ;
Bettuzzi, Camilla ;
Stilli, Stefano ;
Trisolino, Giovanni .
INTERNATIONAL ORTHOPAEDICS, 2018, 42 (10) :2429-2436
[34]   Proposal of an innovative casting technique for correction of clubfoot according to Ponseti method: a pilot study [J].
Gigante, Cosimo ;
Pedrotti, Luisella ;
Guido, Davide .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2019, 28 (03) :242-247
[35]   Evaluation of the utility of the Ponseti method of correction of clubfoot deformity in a developing nation [J].
Gupta, Ankur ;
Singh, Saurabh ;
Patel, Pankaj ;
Patel, Jyotish ;
Varshney, Manish Kumar .
INTERNATIONAL ORTHOPAEDICS, 2008, 32 (01) :75-79
[36]   Evaluation of the utility of the Ponseti method of correction of clubfoot deformity in a developing nation [J].
Ankur Gupta ;
Saurabh Singh ;
Pankaj Patel ;
Jyotish Patel ;
Manish Kumar Varshney .
International Orthopaedics, 2008, 32 :75-79
[37]   Mid-term results of Ponseti management for an idiopathic congenital clubfoot at a single center in Vietnam [J].
Vo, Nam Q. D. ;
Huynh, Nhi M. .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2016, 25 (03) :253-257
[38]   The Ponseti method in the treatment of children with idiopathic clubfoot presenting between five and ten years of age [J].
Banskota, B. ;
Banskota, A. K. ;
Regmi, R. ;
Rajbhandary, T. ;
Shrestha, O. P. ;
Spiegel, D. A. .
BONE & JOINT JOURNAL, 2013, 95B (12) :1721-1725
[39]   Prevalence and Risk Factors for Leg Length Discrepancy in Children With Idiopathic Clubfoot Treated With Ponseti Method [J].
Schaibley, Claire ;
Torres-izquierdo, Beltran ;
Siddabattula, Rohit ;
Hosseinzadeh, Pooya .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2025, 45 (04) :234-238
[40]   Ultrasound evaluation of clubfoot correction during Ponseti treatment - A preliminary report [J].
Desai, Sameer ;
Aroojis, Alaric ;
Mehta, Rujuta .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2008, 28 (01) :53-59