Subjective and objective outcome in congenital clubfoot; a comparative study of 204 children.
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Chesney D, Barker S, Maffulli N.
BMC Musculoskelet Disord. 2007 Jun 28;8:53.
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Dorsal Bunion After Clubfoot Surgery: Outcome of Reverse Jones Procedure.
Yong SM, Smith PA, Kuo KN.
J Pediatr Orthop. 2007 October/November;27(7):814-820.
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The 12-in-1 Procedure for the Treatment of Congenital Idiopathic Clubfoot.
Dailiana ZH, Beris AE, Malizos KN, Varitimidis SE, Hantes M, Soucacos PN.
J Surg Orthop Adv. 2008 Fall;17(3):188-92.
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Outcome of prenatally diagnosed isolated clubfoot.
Lauson S, Alvarez C, Patel MS, Langlois S.
Ultrasound Obstet Gynecol. 2010 Jan 12. [Epub ahead of print]
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Ankle valgus and subtalar varus in treated clubfoot.
Nabeshima Y, Mori H, Fujii H, Ozaki A, Mitani M, Fujioka H.
J Foot Ankle Surg. 2009 Nov-Dec;48(6):615-9
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Complete subtalar release for older children who had recurrent clubfoot deformity.
Hassan FO, Jabaiti S, El Tamimi T.
Foot Ankle Surg. 2010 Mar;16(1):38-44.
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Long-term outcome evaluation in young adults following clubfoot surgical release.
Graf A, Hassani S, Krzak J, Long J, Caudill A, Flanagan A, Eastwood D, Kuo KN, Harris G, Smith P.
J Pediatr Orthop. 2010 Jun;30(4):379-85.
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Prenatally diagnosed clubfeet: comparing ultrasonographic severity with objective clinical outcomes.
Glotzbecker MP, Estroff JA, Spencer SA, Bosley JC, Parad RB, Kasser JR, Mahan ST.
J Pediatr Orthop. 2010 Sep;30(6):606-11.
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Long-term Results of the Posteromedial Release in the Treatment of Idiopathic Clubfoot.
van Gelder JH, van Ruiten AG, Visser JD, Maathuis PG.
J Pediatr Orthop. 2010 Oct-Nov;30(7):700-4.
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Separating the chicken from the egg: an attempt to discern between clubfoot recurrences and incomplete corrections.
Halanski MA, Maples DL, Davison JE, Huang JC, Crawford HA.
Iowa Orthop J. 2010;30:29-34.
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Peroneal nerve dysfunction in patients with complex clubfeet.
Yoshioka S, Huisman NJ, Morcuende JA.
Iowa Orthop J. 2010;30:24-8.
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Hi
I am a MSc podiatry sudent in the UK. I have become interested in the Ponseti method of treating talipes and in the UK this technique has only been available for around 10 years. So far I can find little evidence of podiatrists beeing involved in the administration of the treatment in the UK, it seems to be mainly carried out by orthopaedic surgeons and physiotherapists. Is this the same in other countries? I feel that our specialist knowledge of lower limb bniomecjanics makes us the perfect profession to carry out treatment.
I also would like to ask what gait anomalies anyone has come across in people who have been treated by the Ponseti method. I understand that there is an increased midfoot loading. Podiatrists in the UK will soon be presented with patients who have been treated in childhood and we ned to know what is normal and what is not.
I will be grateful for any feedback.
Janet -
Please excuse the rather interesting spelling in my previous post, I am not drunk, my new keyboard is just smaller that my last one!!!
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I have a patient in her late 40s who remains dissatisfied with the surgery to correct the talipes deformity of her right foot, which she had many many years ago. I referred her to her GP to determine whether further surgery would be viable. Because of the remaining /resultant deformity, the lady concerned gets extensive hyperkeratosis building up around the base of the 5th Metarsal, along the lateral aspect. She doesn't want to wear orthotic insoles or orthotic shoes, and she is conscious of her foot deformity. My question to Pod Arena members is whether she is likely to improve the foot deformity results so late in life?
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Differential distraction for relapsed clubfoot deformity in children.
Devadoss A, Devadoss S, Kapoor A.
J Orthop Surg (Hong Kong). 2010 Dec;18(3):342-5.
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Not all clubfeet can be corrected by nonsurgical methods. In addition, some clubfeet that are corrected initially may recur due to the child’s inability to tolerate braces or the parents’ inability to comply with the bracing requirements. When this occurs, surgical correction of the feet may be needed.
At times, only partial recurrence of the clubfoot happens. In this instance, limited surgery is needed. For example, the heelcord and joint capsule in the back of the ankle may need to be released (limited posterior release), or a tendon that helps to move the foot may need to be repositioned (tibialis anterior tendon transfer).
More extensive surgery on the foot will be needed in approximately 15 percent of patients with clubfeet in order to achieve a satisfactory, lasting position of the foot. This more extensive surgery is known as a posteromedial release. The infant is usually older than 9 months of age before this procedure is performed. Prior to the surgery, it’s common that the family and physicians made numerous efforts to achieve correction of the clubfoot through nonsurgical methods, such as the Ponseti casting method or the French functional (physical therapy) method. -
Quantitative gait characteristics of children who had successful unilateral clubfoot operation.
Akşahin E, Yüksel HY, Yavuzer G, Muratlı HH, Celebi L, Biçimlioğlu A.
Acta Orthop Traumatol Turc. 2010 September-October;44(5):378
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Initial severity rating of idiopathic clubfeet is an outcome predictor at age two years.
Zhang W, Richards BS, Faulks ST, Karol LA, Rathjen KA, Browne RH.
J Pediatr Orthop B. 2011 Sep 20. [Epub ahead of print]
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Support this charity who are active in treating clubfoot by using their search engine:
http://www.feetfirstworldwide.com/ -
Comprehensive review of the functional outcome evaluation of clubfoot treatment: a preferred methodology.
Graf A, Wu KW, Smith PA, Kuo KN, Krzak J, Harris G.
J Pediatr Orthop B. 2011 Nov 10
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Deformity of talus and calcaneous in congenital clubfoot: an anatomical study.
Epeldegui T.
J Pediatr Orthop B. 2011 Nov 16. [Epub ahead of print]
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Mid- and Long-term Results after Surgical Treatment of Idiopathic Clubfoot: A Clinical and Pedobarographic Study
Louise Thieme, Martin Russlies, Barbara Behnke
Presented at the American Academy of Orthopaedic Surgeons 2012 Annual Meeting. Feb. 7-11. San Francisco.
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Low prevalence of osteoarthritis in patients with congenital clubfoot at more than 60 years’ follow-up
H. Wallander, M. Saebö, K. Jonsson, T. Bjönness, and G. Hansson
J Bone Joint Surg Br November 2012 vol. 94-B no. 11 1522-1528
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Patients treated for clubfoot have a low long-term risk for ankle osteoarthritis (OA), say Swedish researchers after studying patients aged over 60 years.
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Long-Term Retrospective Study of Patients with Idiopathic Clubfoot Treated with Posterior Medial-Lateral Release
Lawrence P. Hsu; Luciano S. Dias; Vineeta T. Swaroop
The Journal of Bone & Joint Surgery, Volume 95, Issue 5, March 06, 2013
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Congenital Clubfoot in Children After Walking Age: Management and Evaluation of 41 Feet with the Dimeglio Score
Zoltan Derzsi, Horea Gozar, Simona Gurzu, Radu Prisca, Ors Nagy
Journal of Clinical and Diagnostic Research [serial online] 2013 December [cited: 2013 Dec 23 ]; 7:2841-2843
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Calcaneocuboid arthrodesis for recurrent clubfeet: what is the outcome at 17-year follow-up?
Chu A, Chaudhry S, Sala DA, Atar D, Lehman WB.
J Child Orthop. 2014 Feb 7.
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Congenital clubfoot in children after walking age: management and evaluation of 41 feet with the dimeglio score.
Derzsi Z, Gozar H, Gurzu S, Prisca R, Nagy O.
J Clin Diagn Res. 2013 Dec;7(12):2841-3
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The Bangla clubfoot tool: a repeatability study
Angela Margaret Evans, Roksana Perveen, Vikki A Ford-Powell and Simon Barker
Journal of Foot and Ankle Research 2014, 7:27 doi:10.1186/1757-1146-7-27
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The Bangladesh Clubfoot Project: Audit of 2-Year Outcomes of Ponseti Treatment in 400 Children.
Perveen R, Evans AM, Ford-Powell V, Dietz FR, Barker S, Wade PW, Khan SI.
J Pediatr Orthop. 2014 May 19
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The contralateral foot in children with unilateral clubfoot, is the unaffected side normal?
Anthony Cooper, Harpreet Chhina, Alyssa Howren, Christine Alvarez
Gait & Posture; Article in Press
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Bilateral Clubfeet Are Highly Correlated: A Cautionary Tale for Researchers.
Gray K, Gibbons P, Little D, Burns J.
Clin Orthop Relat Res. 2014 Jul 15.
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The Effect of Clinical, Radiographic and Functional Scores on the Total Score in the Evaluation of Congenital Clubfoot
Zoran Rakonjac, Radivoj Brdar, Miroslav Popovic.
Med Arh. 2014; 68(4): 254-258
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Idiopathic clubfoot: ten year follow-up after a soft tissue release procedure
Noppachart Limpaphayom, Stephen J. Kerr, Pairatch Prasongchin
International Orthopaedics September 2014
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Evertor muscle activity as a predictor of the mid-term outcome following treatment of the idiopathic and non-idiopathic clubfoot.
Gelfer Y, Dunkley M, Jackson D, Armstrong J, Rafter C, Parnell E, Eastwood DM.
Bone Joint J. 2014 Sep;96-B(9):1264-8. doi: 10.1302/0301-620X.96B9.33755.
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Long-Term Results of Tibialis Anterior Tendon Transfer for Relapsed Idiopathic Clubfoot Treated with the Ponseti Method: A Follow-up of Thirty-seven to Fifty-five Years.
Holt JB, Oji DE, Yack HJ, Morcuende JA
J Bone Joint Surg Am. 2015 Jan 7;97(1):47-55. doi: 10.2106/JBJS.N.00525.
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The Relationship Between Gait, Gross Motor Function, and Parental Perceived Outcome in Children With Clubfeet.
Karol, Lori A. MD; Jeans, Kelly A. MS; Kaipus, Kimberly A. PT, MPT, PCS
Journal of Pediatric Orthopaedics: February 20, 2015
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Design and development of a device to measure the deformities of clubfoot.
Khas KS, Pandey PM, Ray AR.
Proc Inst Mech Eng H. 2015 Mar;229(3):194-204.
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Factors Associated with Pain Severity in Severs Disease
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