Clubfoot: current concept of treatment
Introduction Idiopathic clubfoot (IC), also referred to as congenital talipes equinovarus, is one of the most common lower limb deformities observed in newborns, leading to significant functional impairment when left untreated. Early minimally invasive treatment has been praised as one of the most...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2021-08-01
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| Series: | Гений oртопедии |
| Subjects: |
| _version_ | 1818692823169368064 |
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| author | Antonio Andreacchio Flavia Alberghina Sergio Monforte Alain Dimeglio Federico Canavese |
| author_facet | Antonio Andreacchio Flavia Alberghina Sergio Monforte Alain Dimeglio Federico Canavese |
| author_sort | Antonio Andreacchio |
| collection | DOAJ |
| description | Introduction Idiopathic clubfoot (IC), also referred to as congenital talipes equinovarus, is one of the most common lower limb deformities observed
in newborns, leading to significant functional impairment when left untreated. Early minimally invasive treatment has been praised as one of the most
successful practice of modern pediatric orthopedics. This review aims to report current knowledge and controversies about clubfoot treatment. Material
and methods We describe the main trends in clubfoot managing, identifying peculiarities, difficulties and prognostic factors related to the treatment.
Results Many treatment techniques either conservative, surgical or hybrid have been used over the past decades. Based on good and excellent results during
long-term follow-up, Ponseti method has been globally accepted by paediatric orthopaedic surgeons as standard method of treatment. However, some other
conservative methods are still widely applied in the clinical setting, such as the French Physical Therapy method. Adherence to the bracing protocol is
critical for the long-term success of the treatment, being a better predictor for relapse than severity of the deformity at birth. Conclusions Taking care of the
manipulation and casting details by trained professionals, together with enhancing the child and patents’ adherence to the brace, are essential for the success
of conservative treatment. Surgery should be performed only when strictly needed, preferably on a “a la carte” approach. |
| first_indexed | 2024-12-17T13:03:54Z |
| format | Article |
| id | doaj.art-b76d694eebe84f679f1cf186e9976095 |
| institution | Directory Open Access Journal |
| issn | 1028-4427 2542-131X |
| language | English |
| last_indexed | 2024-12-17T13:03:54Z |
| publishDate | 2021-08-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj.art-b76d694eebe84f679f1cf186e99760952022-12-21T21:47:17ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2021-08-0127443143410.18019/1028-4427-2021-27-4-431-434Clubfoot: current concept of treatmentAntonio Andreacchio0Flavia Alberghina1Sergio Monforte2Alain Dimeglio3Federico Canavese4Vittore Buzzi Children's Hospital, Milan, ItalyRegina Margherita Children’s Hospital, Turin, Italy, University of Turin, Turin, ItalyVittore Buzzi Children's Hospital, Milan, ItalyClinique St. Roch, Montpellier, FranceLille University Center, Jeanne de Flandre Hospital, Nord-de-France University, Lille, FranceIntroduction Idiopathic clubfoot (IC), also referred to as congenital talipes equinovarus, is one of the most common lower limb deformities observed in newborns, leading to significant functional impairment when left untreated. Early minimally invasive treatment has been praised as one of the most successful practice of modern pediatric orthopedics. This review aims to report current knowledge and controversies about clubfoot treatment. Material and methods We describe the main trends in clubfoot managing, identifying peculiarities, difficulties and prognostic factors related to the treatment. Results Many treatment techniques either conservative, surgical or hybrid have been used over the past decades. Based on good and excellent results during long-term follow-up, Ponseti method has been globally accepted by paediatric orthopaedic surgeons as standard method of treatment. However, some other conservative methods are still widely applied in the clinical setting, such as the French Physical Therapy method. Adherence to the bracing protocol is critical for the long-term success of the treatment, being a better predictor for relapse than severity of the deformity at birth. Conclusions Taking care of the manipulation and casting details by trained professionals, together with enhancing the child and patents’ adherence to the brace, are essential for the success of conservative treatment. Surgery should be performed only when strictly needed, preferably on a “a la carte” approach.clubfootponseticastingfrench functional physiotherapyhybrid method |
| spellingShingle | Antonio Andreacchio Flavia Alberghina Sergio Monforte Alain Dimeglio Federico Canavese Clubfoot: current concept of treatment Гений oртопедии clubfoot ponseti casting french functional physiotherapy hybrid method |
| title | Clubfoot: current concept of treatment |
| title_full | Clubfoot: current concept of treatment |
| title_fullStr | Clubfoot: current concept of treatment |
| title_full_unstemmed | Clubfoot: current concept of treatment |
| title_short | Clubfoot: current concept of treatment |
| title_sort | clubfoot current concept of treatment |
| topic | clubfoot ponseti casting french functional physiotherapy hybrid method |
| work_keys_str_mv | AT antonioandreacchio clubfootcurrentconceptoftreatment AT flaviaalberghina clubfootcurrentconceptoftreatment AT sergiomonforte clubfootcurrentconceptoftreatment AT alaindimeglio clubfootcurrentconceptoftreatment AT federicocanavese clubfootcurrentconceptoftreatment |