Abstract:
PURPOSE:To analyse the results of the Ponseti method in the treatment of non-idiopathic clubfeet and compare them with idiopathic clubfeet in a programme-based setting using a standardized protocol METHODS: We reviewed two groups of 782 children treated prospectively in our programme-based Clubfoot Clinic: group I comprised of 89 patients (146 feet) with non-idiopathic clubfoot and group II comprised of 693 patients (1032 feet) with idiopathic clubfoot. Both groups were compared on the basis of patient demographics, number of casts, tenotomy rate, success rate, rate of recurrences, and the need for additional secondary procedures. RESULTS:Non-idiopathic clubfeet had a higher incidence of bilateral involvement (p = 0.0093) and affected both males and females equally (p = 0.002) as compared with idiopathic clubfeet. Non-idiopathic clubfeet (group I) required significantly more casts (6.75 ± 4.2) compared with idiopathic clubfeet (4.23 ± 4.14), had a higher rate of Achilles tenotomy (90.4% vs 75%, p < 0.0001), and had a lower initial correction rate compared with idiopathic clubfeet (92.5% vs 100%, p < 0.0001). There was a significant difference in the recurrence rates between the two groups, as 42.5% of non-idiopathic feet (38 patients) relapsed compared with 10.2% (71 patients) in the idiopathic group (p < 0.0001). Most recurrences in group I were amenable to re-casting, with only nine patients (14 non-idiopathic clubfeet) requiring extensive soft tissue releases. The final success rate in the non-idiopathic group at a mean follow-up of 5.8 years (2-8 years) was 87.7%. CONCLUSIONS:We recommend the use of the Ponseti method as an effective treatment for non-idiopathic clubfeet associated with neuromuscular and syndromic conditions.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Shah A,Aroojis A,Mehta Rdoi
10.1007/s00264-020-04677-9subject
Has Abstractpub_date
2021-01-01 00:00:00pages
155-163issue
1eissn
0341-2695issn
1432-5195pii
10.1007/s00264-020-04677-9journal_volume
45pub_type
杂志文章abstract:PURPOSE:The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures. METHOD:Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central R...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1871-z
更新日期:2013-08-01 00:00:00
abstract::A seven-year-old girl, whose right knee gave way, was found to have anterolateral instability of the joint associated with congenital aplasia of the anterior cruciate ligament. Instability was present in the final 30 degrees of extension, and has been controlled by a brace which prevented this movement. ...
journal_title:International orthopaedics
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更新日期:1987-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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abstract:PURPOSE:The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review t...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
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journal_title:International orthopaedics
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doi:10.1007/s00264-014-2631-4
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:2015-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-016-3154-y
更新日期:2016-06-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2007-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268043
更新日期:1989-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1289-4
更新日期:2012-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000214
更新日期:2001-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1747-7
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0596-4
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0533-z
更新日期:2009-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2020-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4147-9
更新日期:2019-09-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2002-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2777-8
更新日期:2015-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2019-02-01 00:00:00