A V Sanghvi1, V K Mittal. 1. Department of Orthopaedics, Government Medical College & New Civil Hospital, Surat, Gujarat, India. amishsanghvi@rediffmail.com
Abstract
PURPOSE: To compare the long-term results of the Kite and Ponseti methods of manipulation and casting for clubfoot. METHODS:42 patients (with 64 idiopathic clubfeet) were equally randomised to Kite or Ponseti treatments in the early weeks of life. 14 males and 7 females (34 clubfeet) were treated by the Kite method, whereas 13 males and 8 females (30 clubfeet) were treated by the Ponseti method. All the clubfeet were manipulated, casted, and followed up (for a mean of 3 years) by one experienced orthopaedic surgeon. The final results were compared. RESULTS: The success rates for the Kite and Ponseti treatments were similar (79% vs 87%). With the Ponseti method, the number of casts was significantly fewer (7 vs 10); the duration of casting required to achieve full correction was significantly shorter (10 vs 13 weeks); the maximum ankle dorsiflexion achieved was significantly greater (12 vs 6 degrees); and the incidence of residual deformity and recurrence was slightly lower. CONCLUSION: The Ponseti method can achieve more rapid correction and ankle dorsiflexion with fewer casts, without weakening the Achilles tendon.
RCT Entities:
PURPOSE: To compare the long-term results of the Kite and Ponseti methods of manipulation and casting for clubfoot. METHODS: 42 patients (with 64 idiopathic clubfeet) were equally randomised to Kite or Ponseti treatments in the early weeks of life. 14 males and 7 females (34 clubfeet) were treated by the Kite method, whereas 13 males and 8 females (30 clubfeet) were treated by the Ponseti method. All the clubfeet were manipulated, casted, and followed up (for a mean of 3 years) by one experienced orthopaedic surgeon. The final results were compared. RESULTS: The success rates for the Kite and Ponseti treatments were similar (79% vs 87%). With the Ponseti method, the number of casts was significantly fewer (7 vs 10); the duration of casting required to achieve full correction was significantly shorter (10 vs 13 weeks); the maximum ankle dorsiflexion achieved was significantly greater (12 vs 6 degrees); and the incidence of residual deformity and recurrence was slightly lower. CONCLUSION: The Ponseti method can achieve more rapid correction and ankle dorsiflexion with fewer casts, without weakening the Achilles tendon.
Authors: Arnold T Besselaar; Ralph J B Sakkers; Hans A Schuppers; Melinda M E H Witbreuk; Elgun V C M Zeegers; Jan D Visser; Robert A Boekestijn; Sacha D Margés; M C Marieke Van der Steen; Koert N J Burger Journal: Acta Orthop Date: 2017-03-07 Impact factor: 3.717
Authors: Lucas Cortizo Garcia; Lucas Rocha de Jesus; Mateus de Oliveira Trindade; Fernando Cal Garcia; Magda Leão Pinheiro; Rafaela Jucá Píres de Sá Journal: Acta Ortop Bras Date: 2018 Impact factor: 0.513
Authors: Amanda J Arnold; Joshua L Haworth; Victor Olivares Moran; Ahmad Abulhasan; Noah Steinbuch; Elena Kokkoni Journal: Arch Rehabil Res Clin Transl Date: 2020-04-05