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Ponseti Method: Does Age at the Beginning of Treatment Make a Difference?

Authors
  • Alves, Cristina1
  • Escalda, Carolina2
  • Fernandes, Pedro3
  • Tavares, Delfin4
  • Neves, M. Cassiano4
  • 1 Hospital Central do Funchal, Department of Orthopaedics, Av Luis Camões, Funchal, 9000-514, Portugal , Funchal (Portugal)
  • 2 Hospital Garcia d’Orta, Almada, Portugal , Almada (Portugal)
  • 3 Hospital de Santa Maria, Lisboa, Portugal , Lisboa (Portugal)
  • 4 Hospital Dona Estefânia, Lisboa, Portugal , Lisboa (Portugal)
Type
Published Article
Journal
Clinical Orthopaedics and Related Research
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Jan 14, 2009
Volume
467
Issue
5
Pages
1271–1277
Identifiers
DOI: 10.1007/s11999-008-0698-1
Source
Springer Nature
Keywords
License
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Abstract

The Ponseti method is reportedly effective for treating clubfoot in children up to 9 years of age. However, whether age at the beginning of treatment influences the rate of successful correction and the rate of relapse is unknown. We therefore retrospectively reviewed 68 consecutive children with 102 idiopathic clubfeet treated by the Ponseti technique in four Portuguese hospitals. We followed patients a minimum of 30 months (mean, 41.4 months; range, 30–61 months). The patients were divided into two groups according to their age at the beginning of treatment; Group I was younger than 6 months and Group II was older than 6 months. All feet (100%) were initially corrected and no feet required extensive surgery regardless of age at the beginning of treatment. There were no differences between Groups I and II in the number of casts, tenotomies, success in terms of rate of initial correction, rate of recurrence, and rate of tibialis anterior transference. The rate of the Ponseti method in avoiding extensive surgery was 100% in Groups I and II; relapses occurred in 8% of the feet in younger and older children. Level of Evidence: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.

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