The Ponseti method is a safe and effective treatment for congenital clubfoot, and radically decreases the need for extensive corrective surgery. But a group of patients will still present with under corrected residual equinovarus deformities despite the proper use of the Ponseti method. About 25% of operated clubfeet will develop recurrence or show a marked residual deformity (recurrent clubf...

BACKGROUND Current trends in the treatment of idiopathic clubfoot have shifted from extensive surgical release to more conservative techniques. The purpose of the present study was to prospectively compare the results of the Ponseti method with those of surgical releases for the correction of clubfoot deformity. METHODS We prospectively compared patients who had idiopathic clubfoot deformitie...

Background: Developmental dysplasia of the hip (DDH) refers to a spectrum of disease, including hips that are unstable, subluxated, dislocated, and/or has dysplastic acetabula. Feet deformities such as clubfoot were mentioned in the literature as associated congenital anomalies in DDH patient with variable results. Multiple studies reported the correlation between DDH and congenital muscular to...

OBJECTIVES The objective of this study was to evaluate the outcomes of the Ponseti manipulation and casting method for clubfoot in a tertiary hospital in Zimbabwe and explore predictors of these outcomes. METHODS A cohort study included children with idiopathic clubfoot managed from 2011 to 2013 at Parirenyatwa Hospital. Demographic data, clinical features and treatment outcomes were extracte...

Objective: Clubfoot ultrasonography is an objective means of determining severity. The purpose this study to evaluate the reliability measuring clubfoot severity by sonographic evaluation talonavicular angle (TNA) and assessing change on simulated Ponseti manipulation. Methods: Twenty-six infants with unilateral idiopathic were evaluated prospectively using clinical scoring Pirani measurements ...

Objective Various methods are applied in the clinical treatment of idiopathic clubfoot. The purpose of this meta-analysis was to evaluate the efficacy of different conservative treatments. Methods Studies were pooled and odds ratio (ORs) with corresponding confidence intervals were calculated for evaluation of the results, relapses, and requirement for major surgery. Results A final analysis of...

OBJECTIVE To assess the strength of agreement for each of the Pirani assessment categories between an orthopaedic surgeon and allied health worker on scoring clubfeet. METHODS The descriptive cross-sectional study was conducted at the Indus Hospital, Karachi, from November 2012 to June 2013, comprised children below 12 months of age with untreated unilateral or bilateral clubfoot deformity an...

OBJECTIVE To assess the effectiveness of the Ponseti technique in the treatment of clubfoot in Saudi children. METHODS The data of 175 patients (235 feet), who presented with clubfeet from September 2002 to June 2008 and who were treated with the Ponseti technique at King Abdulaziz Medical City in Riyadh, Kingdom of Saudi Arabia were collected and studied retrospectively. The Pirani score for...

Forefoot adduction is a common condition between metatarsus adductus, Z-shaped foot and residual clubfoot. This deformity is located in a pure transverse plane at Lisfranc’s joint. Isolated metatarsus adductus is corrected spontaneously for the majority of newborns. In rare uncorrected cases, it could result in Z-shaped foot with a functional hindfoot valgus to equilibrate the resistant metatar...