NDLI: Long-term results of treatment of congenital idiopathic clubfoot in 187 feet: outcome of the functional 'French' method, if necessary completed by soft-tissue release.

Please wait, while we are loading the content...

The use of a joystick technique facilitates closed reduction and percutaneous fixation of multidirectionally unstable supracondylar humeral fractures in children.

Intra-articular corrective osteotomy of humeral lateral condyle malunions in children: early clinical and radiographic results.

Reliability of internal oblique elbow radiographs for measuring displacement of medial epicondyle humerus fractures: a cadaveric study.

Cervical arterial injury after blunt trauma in children: characterization and advanced imaging.

Acute complications associated with removal of flexible intramedullary femoral rods placed for pediatric femoral shaft fractures.

Long-term results of treatment of congenital idiopathic clubfoot in 187 feet: outcome of the functional 'French' method, if necessary completed by soft-tissue release.

Achievement of gross motor milestones in children with idiopathic clubfoot treated with the Ponseti method.

Propofol sedation for infants with idiopathic clubfoot undergoing percutaneous tendoachilles tenotomy.

Casting for infantile scoliosis: the pitfall of increased peak inspiratory pressure.

More experienced surgeons less likely to fuse: a focus group review of 315 hypothetical EOS cases.

Upper thoracic pedicle screw loss of fixation causing spinal cord injury: a review of the literature and multicenter case series.

Variability in spinal surgery outcomes among children's hospitals in the United States.

Flexion-extension cervical spine MRI in children with skeletal dysplasia: is it safe and effective?

Subclavian vein thrombosis after application of body cast.

Year: 2013 Volume: 33 Issue: Supplementary 1

Year: 2012 Volume: 32

Year: 2011 Volume: 31

Year: 2010 Volume: 30

Year: 2009 Volume: 29

Year: 2008 Volume: 28

Year: 2007 Volume: 27

Long-term results of treatment of congenital idiopathic clubfoot in 187 feet: outcome of the functional 'French' method, if necessary completed by soft-tissue release.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rampal, Virginie Chamond, Caroline Barthes, Xavier Glorion, Christophe Seringe, Raphael Wicart, Philippe
Description	Country affiliation: France Author Affiliation: Rampal V ( Paediatric Orthopaedic Unit, Nice Paediatric Hospital, GCS CHU-Lenval, Nice, France. rocher-rampal.v@pediatrie-chulenvalnice.fr)
Abstract	BACKGROUND: Two main options for treatment of congenital idiopathic clubfoot are the 'French' functional method and the Ponseti method. The goal of this article was to evaluate the results of the functional treatment method, which, if necessary, is completed by a surgical release. PATIENTS AND METHODS: A series of 187 feet (129 patients) underwent functional conservative treatment. At first evaluation, the feet were classified according to the classification of Dimeglio. All patients then underwent daily physiotherapy and splintage, which was progressively stopped during childhood. Among these 187 feet, 85 feet (45.5%) required soft-tissue release to correct the remaining deformity. Surgery, when required, consisted of a complete posterolateral and medial release procedure, combined with a lengthening of the tibialis anterior tendon in most cases and a bony lateral procedure in case of forefoot adduction. RESULTS: At the latest follow-up (14.7 y; range, 7.4 to 23 y), results were 'good' or 'very good' in almost 98% of feet, according to the Ghanem and Seringe score. Severe feet at first consultation showed a worse result and required surgery more often than did the less severe ones. Among nonoperated feet, very good results were found in 99% of feet, and none had a fair or bad result. The average age at surgery was 2.5 years. Feet operated upon had lower results compared with the others. At last follow-up, among the operated feet, the results were excellent or good in 95% of the feet. The results were fair or bad in 4 cases; all 4 feet had been operated upon more than once. The results were not statistically dependent on age at the time of surgery, but feet operated upon before the age of 2 years had statistically more flattening of the talar dome and subtalar stiffness. CONCLUSIONS: The functional treatment of clubfoot leads to a very good result without the need for surgery in more than half of the patients. The initial severity of the feet is the main factor that influences the final result. The rate of feet not requiring surgery should be increased by recent modifications to the method, including percutaneous Achilles tenotomy. LEVEL OF EVIDENCE: Level IV-retrospective series.
File Format	HTM / HTML
ISSN	02716798
Issue Number	1
Volume Number	33
e-ISSN	15392570
Journal	Journal of Pediatric Orthopaedics
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2013-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Clubfoot Therapy Manipulation, Orthopedic Methods Child, Preschool Surgery Combined Modality Therapy Female Follow-up Studies Humans Infant Male Orthopedic Procedures Retrospective Studies Time Factors Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Pediatrics, Perinatology and Child Health

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Operative management of rigid congenital club feet in Bangladesh.

The drop toe sign: an indicator of neurologic impairment in congenital clubfoot.

Ponseti method for untreated idiopathic clubfeet in Nepalese patients from 1 to 6 years of age.

The French functional physical therapy method for the treatment of congenital clubfoot.

Long-term retrospective study of patients with idiopathic clubfoot treated with posterior medial-lateral release.

Ponseti's manipulation in neglected clubfoot in children more than 7 years of age: a prospective evaluation of 25 feet with long-term follow-up.

Treatment of congenital clubfoot with the Ponseti method: the parents' perspective.

Follow up of complete subtalar release for clubfoot--Evolution of different scores.

Early results of the Ponseti method for the treatment of clubfoot in distal arthrogryposis.

Long-term results of treatment of congenital idiopathic clubfoot in 187 feet: outcome of the functional 'French' method, if necessary completed by soft-tissue release.

Similar Documents

Operative management of rigid congenital club feet in Bangladesh.

The drop toe sign: an indicator of neurologic impairment in congenital clubfoot.

Ponseti method for untreated idiopathic clubfeet in Nepalese patients from 1 to 6 years of age.

The French functional physical therapy method for the treatment of congenital clubfoot.

Long-term retrospective study of patients with idiopathic clubfoot treated with posterior medial-lateral release.

Ponseti's manipulation in neglected clubfoot in children more than 7 years of age: a prospective evaluation of 25 feet with long-term follow-up.

Treatment of congenital clubfoot with the Ponseti method: the parents' perspective.

Follow up of complete subtalar release for clubfoot--Evolution of different scores.

Early results of the Ponseti method for the treatment of clubfoot in distal arthrogryposis.

Long-term results of treatment of congenital idiopathic clubfoot in 187 feet: outcome of the functional 'French' method, if necessary completed by soft-tissue release.