Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method

6Citations
Citations of this article
16Readers
Mendeley users who have this article in their library.

Abstract

Background: Idiopathic clubfoot, also referred to as congenital talipes equinovarus (CTEV), is one of the most common lower limb deformities observed in newborns, leading to significant functional impairment if untreated. The aims of this study were to (1) assess the developmental milestones in patients with CTEV treated by the Ponseti technique, and to compare them to the unaffected controls; (2) evaluate the possible correlation between developmental milestones, severity of the deformity, and number of casts. Materials and methods: Seventy-nine subjects were divided into two groups, CTEV group (43 patients; 72 feet) and control group (36 patients). Age, sex, affected side, attainment of babbles (BAL), independent gait (IG), and combined word (CW) were recorded for all patients. In patients with CTEV, Pirani Score (PRS), number of casts (NC), and clinical outcome were collected according to the Clubfoot Assessment Protocol (CAP), The American Orthopedic Foot and Ankle Score (AOFAS), and Foot and Ankle Disability Index (FADI). Results: IG was achieved later later than the unaffected controls by 12/43 patients (27.9%) with CTEV and 3/36 patients in the control group (8.3%) (p = 0.04) and in a mean time of 16.8 ± 3.5 months and 13.2 ± 2.7 months, respectively (p = 0.001). In the CTEV group the mean value of CAP was 98.6 ± 4.7, of AOFAS of 98.4 ± 4.4 and of FADI equal to 99.9 ± 0.44. There were no statistically significant differences for BAL and CW; and no correlation with PRS, NC, or clinical score were identified. Conclusion: CTEV patients managed by the Ponseti technique achieve independent gait later than the unaffected controls, although they do so within the age limit of developmental. On the other hand, the Ponseti treatment has no impact on attainment of language development.

References Powered by Scopus

The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies

6892Citations
N/AReaders
Get full text

An independent assessment of two clubfoot-classification systems

146Citations
N/AReaders
Get full text

Treatment of idiopathic clubfoot using the Ponseti method: Minimum 2-year follow-up

122Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Outcomes of the Ponseti Technique in Different Types of Clubfoot—A Single Center Retrospective Analysis

3Citations
N/AReaders
Get full text

Current Clubfoot Practices: POSNA Membership Survey

2Citations
N/AReaders
Get full text

Ultrasonic Evaluation of the Achilles Tendon in Patients Treated for Congenital Clubfoot: Comparison between Patients Treated with Plaster Alone, Achilles Tenotomy, and Z-Plasty Lengthening

1Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Pavone, V., Sapienza, M., Vescio, A., Caldaci, A., McCracken, K. L., Canavese, F., & Testa, G. (2022). Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method. Frontiers in Pediatrics, 10. https://doi.org/10.3389/fped.2022.869401

Readers over time

‘22‘23‘24‘25036912

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 2

50%

Researcher 2

50%

Readers' Discipline

Tooltip

Medicine and Dentistry 6

100%

Save time finding and organizing research with Mendeley

Sign up for free
0