Application of the Ponseti principle for deformity correction in neglected and relapsed clubfoot using the Ilizarov fixator.
case_series · Level IV
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- Record sourced from PubMed, PMID 20842065.
- Also identified by DOI 10.1097/BPB.0b013e32833f33fe.
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Abstract
We treated 15 cases of neglected and relapsed clubfeet by the Ilizarov distraction method using the Ponseti principle in 12 children (mean age 7.3 years). The deformities were corrected around the talar head in the sequence of the cavus, adduction, varus and finally equinus (as per the Ponseti principle). Clinical and functional outcome after 2.5 years was significant (P<0.05) with a mean reduction of 11.7 in Dimeglio's score and an average Laaveg and Ponseti functional score of 75.47. The average time taken for correction was 4.2 weeks. Differential distraction according to the Ponseti principle leads to early correction with minimal number of residual deformities and complications.
Medical subject headings
- Clubfoot
- External Fixators
- Ilizarov Technique
- Manipulation, Orthopedic
Anatomy
- foot