Authors: Khaled Loutfy ElAdwar Hesham Taha Kotb
Publish Date: 2010/04/14
Volume: 468, Issue: 9, Pages: 2495-2506
Abstract
We attempted to 1 evaluate clinically and sonographically the reliability of the Ponseti method in correcting clubfeet and 2 determine whether various ultrasound US variables correlated with each other and with the Pirani score before and after treatmentWe prospectively followed 17 infants 25 clubfeet assessed using the Pirani score and US variables medial malleolus navicular distance navicular alignment in relation to the talar head medial soft tissue thickness talar length and calcaneocuboid distance and treated with the Ponseti method The mean age of the patients at first casting was 30 days and repeat assessment after treatment was performed at a mean age of 63 months Patients were followed for a minimum of 075 months mean 141 months range 075–38 monthsThe Ponseti method corrected all feet We found three clinical/US correlations Before treatment we observed a negative correlation between the clinical midfoot score and the sonographic medial malleolus navicular distance After treatment we observed two negative correlations one between the midfoot score and the sonographic talar length and the other between the hindfoot score and medial malleolus navicular distance Four feet had recurrence of varus two of which had an increased calcaneocuboid distance despite full restoration of navicular alignment in one foot
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