Does Clubfoot Treatment Need to Begin As Soon As Possible?

NewsBot · Aug 11, 2016

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Does Clubfoot Treatment Need to Begin As Soon As Possible?
Zionts, Lewis E. MD; Sangiorgio, Sophia N. PhD; Cooper, Shannon D. BS; Ebramzadeh, Edward PhD
Journal of Pediatric Orthopaedics: September 2016 - Volume 36 - Issue 6 - p 558?564

Introduction: Parents of an infant with an idiopathic clubfoot deformity are often urged by their primary care physician to seek treatment as soon as possible. This advice frequently appears in many general pediatric and pediatric orthopaedic textbooks and monographs on the subject. This recommendation has not changed since the wide acceptance of the minimally invasive Ponseti method to treat clubfoot. We determined the correlations among patient-related variables, early treatment variables, and the age at which the patient was first seen to begin treatment.

Methods: Infants with moderate to very severe idiopathic clubfoot deformity were invited to participate. Age at which the patient presented to begin treatment was correlated against early treatment-related variables, including number of casts required, cast slippage, cast-related skin problems, brace-related skin problems, early noncompliance with brace wearing, and relapse before 1 year. Patient-related variables were also correlated against age at first visit.

Results: Over 7 years, 176 infants met the inclusion criteria. There were no significant differences in the aspects of the early management as a function of age at first visit, with the exception of cast slippage (P=0.05).

Conclusions: The age at first visit influenced the incidence of cast slippage, but otherwise did not affect the early treatment of clubfoot.

Clinical Relevance: The treatment of idiopathic clubfoot deformity should not be considered an orthopaedic emergency, and parents whose infants are born with this deformity should be counseled accordingly.
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Admin2 · Aug 11, 2016

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Craig Payne · Aug 20, 2016

Lots of intriguing comments in different social media platforms on posts about this study.

Intriguing because it shows how many people who see research headlines and comment without even reading the study.

So many comments were made that the treatment must start early.

The above research show that the outcomes are not any different if you start treatment immediately or if its delayed.

Craig Payne · Aug 21, 2016

one can only weep at this .....

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