دورية أكاديمية
Early management of clubfoot by the Ponseti method with complete percutaneous tenotomy of tendoachillis.
| العنوان: | Early management of clubfoot by the Ponseti method with complete percutaneous tenotomy of tendoachillis. |
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| المؤلفون: | Khorsheed MA; Erbil Teaching Hospital, General Directorate of Erbil Health, Ministry of Health, Erbil, Kurdistan Region, Iraq., Hwaizi LJK; Head of Surgical Specialties Council, Kurdistan Board of Medical Specialties, Erbil, Kurdistan Region, Iraq. |
| المصدر: | Journal of family medicine and primary care [J Family Med Prim Care] 2019 Aug 28; Vol. 8 (8), pp. 2618-2622. Date of Electronic Publication: 2019 Aug 28 (Print Publication: 2019). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Medknow Country of Publication: India NLM ID: 101610082 Publication Model: eCollection Cited Medium: Print ISSN: 2249-4863 (Print) Linking ISSN: 22494863 NLM ISO Abbreviation: J Family Med Prim Care Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Mumbai : Medknow |
| مستخلص: | Background and Objective: As a highly common congenital deformity which can lead to serious walking problems, clubfoot has long been treated using the Ponseti method which is usually carried out without complete percutaneous tenotomy of tendoachillis. The present study was aimed at investigating the effects of early management of clubfoot by the Ponseti method with a complete percutaneous tenotomy of tendoachillis in Erbil Teaching Hospital located in Erbil, the Kurdistan Region of Iraq. Methods: Thirty neonates <3 months of age who had congenital idiopathic clubfoot were randomly selected. They were treated by the Ponseti method. For this purpose, successive casts were applied for them for 3 weeks, with changing the casts on a weekly basis. For those who did not respond to the first 3 weeks of casting, the classical Ponseti method was utilized along with complete percutaneous tenotomy of tendoachillis based on the theory of stem cell regeneration. Then, the casting was performed for 6 weeks, followed by foot abduction brace and maintained using a foot abduction brace (Dennis brown splint) until school age 5-6 years. The collected data were analyzed using the χ 2 test through SPSS 22.0. Results: The results of the present study indicated that the most prevalent type of clubfoot was the unilateral type with 73.3% prevalence rate. Treating the newborns with clubfoot by the Ponseti method along with complete percutaneous tenotomy of tendoachillis led to good results in 86.7% of the cases, medium in 3 cases (10%), and poor only in 1 case (3.3%). Conclusion: Ponseti method along with complete percutaneous tenotomy of tendoachillis was proved to be an efficient method to treat clubfoot during the first few weeks of life. Competing Interests: There are no conflicts of interest. |
| References: | J Am Acad Orthop Surg. 2010 Aug;18(8):486-93. (PMID: 20675641) J Pediatr Orthop B. 2012 Jan;21(1):79-84. (PMID: 21666506) J Pediatr Orthop B. 2003 Mar;12(2):133-40. (PMID: 12584499) Curr Rev Musculoskelet Med. 2015 Mar;8(1):9-17. (PMID: 25655258) J Bone Joint Surg Am. 2009 Mar 1;91(3):530-40. (PMID: 19255212) Acta Orthop. 2012 Jun;83(3):288-93. (PMID: 22616746) Iowa Orthop J. 2010;30:7-14. (PMID: 21045965) BMC Musculoskelet Disord. 2017 Nov 15;18(1):453. (PMID: 29141609) Cent Afr J Med. ;59(1-4):14-8. (PMID: 29144117) BMJ. 2010 Feb 02;340:c355. (PMID: 20124368) J Bone Joint Surg Br. 2011 Sep;93(9):1160-4. (PMID: 21911524) Iowa Orthop J. 2010;30:15-23. (PMID: 21045966) Pediatrics. 2004 Feb;113(2):376-80. (PMID: 14754952) J Pediatr Orthop. 2012 Jun;32(4):412-5. (PMID: 22584844) J Bone Joint Surg Am. 2004 Jan;86(1):22-7. (PMID: 14711941) J Pediatr Orthop. 2009 Dec;29(8):916-9. (PMID: 19934709) BMJ Glob Health. 2016 May 26;1(1):e000023. (PMID: 28588918) Eur Rev Med Pharmacol Sci. 2016;20(2):220-4. (PMID: 26875888) Practitioner. 2013 Oct;257(1765):15-8, 2. (PMID: 24367876) Iowa Orthop J. 2013;33:161-6. (PMID: 24027477) Acta Orthop. 2014 Dec;85(6):641-5. (PMID: 25175659) Int Orthop. 2013 Sep;37(9):1827-31. (PMID: 23900385) Indian J Orthop. 2008 Jan;42(1):22-8. (PMID: 19823650) Rev Bras Ortop. 2013 Sep 27;48(4):362-367. (PMID: 31304134) Clin Orthop Relat Res. 2009 May;467(5):1154-63. (PMID: 19308648) J Pediatr Orthop. 2012 Jul-Aug;32(5):527-33. (PMID: 22706471) J Bone Joint Surg Am. 1995 Oct;77(10):1477-89. (PMID: 7593056) Mali Med. 2009;24(1):4-8. (PMID: 19666390) J Pediatr Orthop. 2002 Jul-Aug;22(4):517-21. (PMID: 12131451) J Pediatr Orthop. 2004 Jul-Aug;24(4):349-52. (PMID: 15205613) Am J Med Genet A. 2013 Jul;161A(7):1569-78. (PMID: 23686911) |
| فهرسة مساهمة: | Keywords: Clubfoot; complete percutaneous tenotomy of tendoachillis; ponseti method |
| تواريخ الأحداث: | Date Created: 20190925 Latest Revision: 20240720 |
| رمز التحديث: | 20240720 |
| مُعرف محوري في PubMed: | PMC6753817 |
| DOI: | 10.4103/jfmpc.jfmpc_291_19 |
| PMID: | 31548943 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2249-4863 |
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| DOI: | 10.4103/jfmpc.jfmpc_291_19 |