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The Archives of Bone and Joint Surgery، جلد ۵، شماره ۳، صفحات ۱۶۸-۱۷۳
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عنوان انگلیسی Ponseti Casting Method in Idiopathic Congenital Clubfoot and Its Correlation with Radiographic Features Abstract
چکیده انگلیسی مقاله Background: The aim of this study was to evaluate the idiopathic congenital clubfoot deformity treated by Ponseti method to determine the different factors such as radiological investigations that may have relations with the risk of failure and recurrence in mid-term follow-up of the patients. Methods: Since 2006 to 2011, 226 feet from 149 patients with idiopathic congenital clubfoot were treated with weekly castings by Ponseti method. Anteroposterior and lateral foot radiographies were performed at the final follow-up visit and the data from clinical and radiological outcomes were analysed. Results: In our patients, 191(84.9%) feet required percutaneous tenotomy. The successful correction rate was 92% indication no need for further surgical correction. No significant correlation was found between the remained deformity rate and the severity of the deformity and compliance of using the brace (P=0.108 and 0.207 respectively). The remained deformity rate had an inverse association with the beginning age of treatment (P=0.049). No significant correlation was found between the percutaneous tetonomy and passive dorsiflexion range (P=0.356). Conclusion: According to our results treatment with the Ponseti method resulted in poor or no correlation. The diagnosis of clubfoot is a clinical judgment; therefore, the outcome of the treatment must only be clinically evaluated. Although the Ponseti method can retrieve the normal shape of the foot, it fails to treat the bone deformities and eventually leads to remained radiologic deformity. Further studiesare suggested to define a different modification that can address the abnormal angles between the foot and ankle bones to minimize the risk of recurrence.
کلیدواژه‌های انگلیسی مقاله Club foot, Ponseti method, radiologic evaluation
نویسندگان مقاله تقی بغدادی | taghi baghdadi
orthopedic surgery ward, imam khomeini hospital, tehran university of medical sciences, tehran, iran school of medicine, tehran university of medical sciences, tehran, iran joint reconstruction research center, imam khomeini hospital, tehran university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نیما باقری | nima bagheri
orthopedic surgery ward, imam khomeini hospital, tehran university of medical sciences, tehran, iran school of medicine, tehran university of medical sciences, tehran, iran joint reconstruction research center, imam khomeini hospital, tehran university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

آروین نجفی | arvin najafi
orthopedic surgery ward, imam khomeini hospital, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

پژمان منصوری | pejman mansouri
joint reconstruction research center, imam khomeini hospital, tehran university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمود فرزان | mahmoud farzan
orthopedic surgery ward, imam khomeini hospital, tehran university of medical sciences, tehran, iran school of medicine, tehran university of medical sciences, tehran, iran joint reconstruction research center, imam khomeini hospital, tehran university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://abjs.mums.ac.ir/article_8564.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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