Document Detail


Application of the Ponseti principle for deformity correction in neglected and relapsed clubfoot using the Ilizarov fixator.
MedLine Citation:
PMID:  20842065     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We treated 15 cases of neglected and relapsed clubfeet by the Ilizarov distraction method using the Ponseti principle in 12 children (mean age 7.3 years). The deformities were corrected around the talar head in the sequence of the cavus, adduction, varus and finally equinus (as per the Ponseti principle). Clinical and functional outcome after 2.5 years was significant (P<0.05) with a mean reduction of 11.7 in Dimeglio's score and an average Laaveg and Ponseti functional score of 75.47. The average time taken for correction was 4.2 weeks. Differential distraction according to the Ponseti principle leads to early correction with minimal number of residual deformities and complications.
Authors:
Sujit Kumar Tripathy; Raghav Saini; Pebam Sudes; Mandeep Singh Dhillon; Shivinder Singh Gill; Ramesh Kumar Sen; Amit Agarwal; Sarvdeep Dhatt; Aditya Krishna Mootha
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  20     ISSN:  1473-5865     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-03-22     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  26-32     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, PGIMER, Chandigarh, India. sujitortho@yahoo.co.in
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MeSH Terms
Descriptor/Qualifier:
Casts, Surgical
Child
Child, Preschool
Clubfoot / physiopathology,  radiography,  surgery*
External Fixators*
Female
Humans
Ilizarov Technique / instrumentation*
Male
Manipulation, Orthopedic / methods*
Patient Satisfaction
Prospective Studies
Recovery of Function
Recurrence
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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