Abstract
Introduction
There are not enough studies demonstrating the results of the modified Ponseti method on iatrogenic complex clubfoot that occurs due to errors during the application of the method for treating idiopathic clubfoot. The present study aimed to present the treatment results of the modified method reported by Ponseti for treating feet that became complex solely due to errors during casting.
Methods
Patients with the confirmed diagnosis of iatrogenic complex clubfoot were according to initial physicians’ report and photographs were included in this retrospective case series study. Patients with congenital atypical feet, incomplete medical records, and accompanying pathologies were excluded from the study. Patients’ clinical data and clinical scores were recorded at the initial visit and at the latest follow-up.
Results
There were 21 children (15 boys and 8 girls) with 32 complex clubfeet. Initial correction was achieved in all children, with an average of five serial casts (range 3 to 6 casts). At the last follow-up, ISGCF score of 25 feet (78.1%) was excellent and seven feet (21.9) was good.
Conclusion
According to the results acquired from this study, an iatrogenic complex clubfoot can be successfully treated using the modified Ponseti method.
Similar content being viewed by others
References
Smythe T, Kuper H, Macleod D, Foster A, Lavy C (2017) Birth prevalence of congenital talipes equinovarus in low- and middle-income countries: a systematic review and meta-analysis. Trop Med Int Health 22(3):269–285
Ponseti IV (1992) Treatment of congenital club foot. J Bone Joint Surg Am 74:448–454
Cooper DM, Dietz FR (1995) Treatment of idiopathic clubfoot. A thirty- year follow-up note. J Bone Joint Surg Am 77:1477–1489
Laaveg SJ, Ponseti IV (1980) Long-term results of treatment of congenital club foot. J Bone Joint Surg Am 62:23–31
Herzenberg JE, Radler C, Bor N (2002) Ponseti versus traditional methods of casting for idiopathic clubfoot. J Pediatr Orthop 22:517–521
Göksan SB, Bursali A, Bilgili F, Sivacioğlu S, Ayanoğlu S (2006) Ponseti technique for the correction of idiopathic clubfeet presenting up to 1 year of age. A preliminary study in children with untreated or complex deformities. Arch Orthop Trauma Surg 126:15–218
Colburn M, Williams M (2003) Evaluation of the treatment of idiopathic clubfoot by using the Ponseti method. J Foot Ankle Surg 42:259–267
Ponseti IV (1997) Common errors in the treatment of congenital clubfoot. Int Orthop (SICOT) 21:137–141
Ponseti IV, Zhivkov M, Davis N, Sinclair M, Dobbs MB, Morcuende JA (2006) Treatment of the complex idiopathic clubfoot. Clin Orthop Relat Res 451:171–176
Ponseti International Association (2015) Clinical practice guidelines for the management of clubfoot deformity using the Ponseti method. Available at: http://www.ponseti.info/. Accessed 24 Jan 2018
Radler C (2013) The Ponseti method for the treatment of congenital club foot: review of the current literature and treatment recommendations. Int Orthop 37(9):1747–1753
Staheli L (2009) Clubfoot: Ponseti management. 3th edn, p 22. http://global-help.org/category/categories/clubfoot/. Accessed 26 Sept 2019
Ponseti IV (1996) Fundamentals of clubfoot treatment. Oxford Press, 2nd edn, p 141. http://www.ponseti.info. Accessed 1 Nov 2019
Pirani S (2004) A reliable and valid method of assessing the amount of deformity in the congenital clubfoot. Pediatric Orthopaedic Society of North America, St Louis
Dimeglio A, Bensahel H, Souchet P, Mazeau P, Bonnet F (1995) Classification of clubfoot. J Pediatr Orthop B 4:129–136
Bensahel H, Kuo K, Duhaime M, International Clubfoot Study Group (2003) Outcome evaluation of the treatment of clubfoot: the international language of clubfoot. J Pediatr Orthop B 12(4):269–271
Huertas R, Rosselli P (2013) Complex congenital clubfoot: a case report [article in Spanish]. Acta Ortop Mex 27:197–200
Matar HE, Beirne P, Bruce CE, Garg NK (2017) Treatment of complex idiopathic clubfoot using the modified Ponseti method. J Pediatr Orthop B 26(2):137–142
Dragoni M, Gabrielli A, Farsetti P, Bellini D, Maglione P, Ippolito E (2018) Complex iatrogenic clubfoot. J Pediatr Orthop B 27(5):428–434
Mandlecha P, Kanojia RK, Champawat VS, Kumar A (2019) Evaluation of modified Ponseti technique in treatment of complex clubfeet. J Clin Orthop Trauma 10(3):599–608
De Mulder T, Prinsen S, Van Campenhout A (2018) Treatment of non-idiopathic clubfeet with the Ponseti method: a systematic review. J Child Orthop 2018:12
van Bosse HJP (2019) Challenging clubfeet: the arthrogrypotic clubfoot and the complex clubfoot. J Child Orthop 13:271–281
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
This study was performed after receiving approval from the institutional ethical review board. Informed consent was obtained from all patients.
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Duman, S., Camurcu, Y., Cobden, A. et al. Clinical outcomes of iatrogenic complex clubfoot treated with modified Ponseti method. International Orthopaedics (SICOT) 44, 1833–1840 (2020). https://doi.org/10.1007/s00264-020-04529-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-020-04529-6