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Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2021, Number 1-3

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Rev Mex Ortop Ped 2021; 23 (1-3)

Idiopathic clubfoot in contingency (COVID-19). Preliminary report

Fortis-Olmedo IO, Ávalos-Arroyo G, Ardón-Dubón JJ, Altamirano-Duarte E, Tabares-Juárez JM

Language: Spanish
References: 19
Page: 16-22
PDF size: 249.12 Kb.


ABSTRACT

Introduction: During the COVID-19 health contingency, the treatment of the clubfoot has had to be postponed until the health conditions are safe for the doctor and the patient himself. Objective: To evaluate the efficacy of the use of the abductor bar as the only treatment in patients with clubfoot, in the manipulation and casting phase to maintain the partially achieved corrections during the COVID-19 pandemic. Material and methods: Clinical trial among patients with idiopathic clubfoot who were in the manipulation and casting phase, were divided into groups according to their Dimeglio score and each group was subsequently subdivided, 50% of the patients suspended the manipulation treatment and in a cast, while the remaining 50% started an abduction bar as the only treatment to avoid worsening their partial corrections. Results and conclusions: It was identified that the Dimeglio I, II and III feet presented less rates of deterioration with the use of the abductor bar than the corrections partially achieved during the manipulation and casting phase.


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EVIDENCE LEVEL

IV




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