Document Detail

A Single-center Prospective Evaluation of the Ponseti Method in Nonidiopathic Congenital Talipes Equinovarus.
MedLine Citation:
PMID:  22892629     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: : The Ponseti method has revolutionized the management of idiopathic congenital talipes equinovarus (CTEV). However, nonidiopathic CTEV is still often primarily treated by extensive surgical soft tissue release. We believe that nonoperative treatment of these patients using the Ponseti method may give very satisfactory results.
METHODS: : We examined the demographics of nonidiopathic CTEV and the success of the Ponseti method in this population over a 5-year period. We treated 29 patients with 43 nonidiopathic and 97 patients with 138 idiopathic CTEV feet. Patients with nonidiopathic CTEV made up 23% of all cases. The commonest etiologies were arthrogryposis (5 cases), trisomy 21 (4 cases), and spina bifida (3 cases). Average follow-up was 39 (nonidiopathic group) and 35 months (idiopathic group).
RESULTS: : The Ponseti method was initially successful in 91% of nonidiopathic and 98% of idiopathic feet. Recurrence of deformity occurred in 44% of nonidiopathic and 8% of idiopathic feet. Thirty-seven percent of nonidiopathic feet required extensive surgical release compared with 2% in the idiopathic group.
CONCLUSIONS: : Although the success rate of the Ponseti method in nonidiopathic CTEV is inferior to that in idiopathic CTEV, 63% of our nonidiopathic patients did not require extensive surgery. We believe that the Ponseti method should be used in all cases of nonidiopathic CTEV.
LEVEL OF EVIDENCE: : Level III-prospective cohort study.
Paul J Moroney; Jacques Noël; Esmond E Fogarty; Paula M Kelly
Related Documents :
2896139 - Comparison of delayed-release 5-aminosalicylic acid (mesalazine) and sulfasalazine as m...
1475639 - Pattern of sle in hong kong chinese: a cohort study.
22496009 - Mucosal excision instead of fashioning nasolacrimal mucosae flaps during external dacry...
22713449 - Intralesional methotrexate treatment for keratoacanthoma tumors: a retrospective case s...
15968599 - The prognostic value of dopamine receptor occupancy by [123i]ibzm-spect in schizophreni...
22757619 - Thromboprophylaxis following hip and knee arthroplasty.
17151339 - Recombinant human acid [alpha]-glucosidase: major clinical benefits in infantile-onset ...
4090889 - Endoscopic sphincterotomy in the treatment of choledocholithiasis and ampullar stenosis...
1211039 - Massive haemorrhage from gastroduodenal ulcer. a series of 149 casees operated on.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  32     ISSN:  1539-2570     ISO Abbreviation:  J Pediatr Orthop     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  636-40     Citation Subset:  IM    
Our Lady's Children's Hospital, Dublin, Ireland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Reliability of digital radiographs for pediatric lower extremity alignment.
Next Document:  Ultrasound evaluation of ulnar nerve anatomy in the pediatric population.