Sport Ability During Walking Age in Clubfoot-Affected Children After Ponseti Method: A Case-Series Study

Overview

Journal Children (Basel)

Specialty Health Services

Date 2021 Apr 3

PMID 33804306

Citations 8

Authors

Vito Pavone

Andrea Vescio

Alessia Caldaci

Annalisa Culmone

Marco Sapienza

Mattia Rabito

Federico Canavese

Gianluca Testa

Affiliations

Soon will be listed here.

Abstract

Background: The Ponseti method (PM) of manipulative treatment for congenital talipes equinovarus (CTEV) or clubfoot became widely adopted by pediatric orthopedic surgeons at the beginning of the mid-1990s with reports of long-term successful outcomes. Sports are crucial for children's development and for learning good behavior. This study aimed to evaluate the sports activity levels in children treated with PM and to assess the different outcomes, according to gender and bilaterality.

Methods: A total of 25 patients (44 feet) with CTEV treated by the PM were included in the study. The patients were clinically evaluated according to the Clubfoot Assessment Protocol, American Orthopedic Foot and Ankle Society, Ankle-Hindfoot score, the Foot and Ankle Disability Index (CAP, AOFAS, and FADI, respectively), and FADI Sport scores.

Results: The overall mean CAP, AOFAS, FADI, and FADI Sport scores were 97.5 ± 6.4 (range 68.75-100), 97.5 ± 5.8 (range 73.00-100), 99.9 ± 0.6 (range 97.1-100), and 100, respectively. Gender and bilaterality did not affect outcome ( > 0.05).

Conclusions: The data confirmed good-to-excellent outcomes in children with CTEV managed by PM. No limitations in sport performance or activity could be observed. In particular, male and female patients and patients with unilateral or bilateral involvement performed equally well.

Citing Articles

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PMID: 38790575 PMC: 11119425. DOI: 10.3390/children11050580.

Outcomes of the Ponseti Technique in Different Types of Clubfoot-A Single Center Retrospective Analysis.

Butt M, Perveen W, Ciongradi C, Alexe D, Marryam M, Khalid L Children (Basel). 2023; 10(8).

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Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method.

Pavone V, Sapienza M, Vescio A, Caldaci A, McCracken K, Canavese F Front Pediatr. 2022; 10:869401.

PMID: 36090581 PMC: 9448959. DOI: 10.3389/fped.2022.869401.

The Predictive Value of Radiographs and the Pirani Score for Later Additional Surgery in Ponseti-Treated Idiopathic Clubfeet, an Observational Cohort Study.

Moerman S, Zijlstra-Koenrades N, Reijman M, Kempink D, Bessems J, de Vos-Jakobs S Children (Basel). 2022; 9(6).

PMID: 35740802 PMC: 9221593. DOI: 10.3390/children9060865.

Anatomical Structures Responsible for CTEV Relapse after Ponseti Treatment.

Laliotis N, Chrysanthou C, Konstandinidis P, Anastasopoulos N Children (Basel). 2022; 9(5).

PMID: 35626758 PMC: 9139296. DOI: 10.3390/children9050581.

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