medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2017, Number 4

<< Back Next >>

Acta Ortop Mex 2017; 31 (4)

Evidence level and grade of recommendation of the Ponseti method for arthrogryposis-related syndromic talipes equinovarus and Moebius syndrome: a systematic review

Guerra-Jasso JJ, Valcarce-León JA, Quíntela-Núñez-Del Prado HM

Language: Spanish
References: 34
Page: 182-188
PDF size: 175.20 Kb.


ABSTRACT

Background: Adduct congenital talipes equinovarus (CTE) or clubfoot is a common musculoskeletal malformation affecting between 1 and 4.5 out of every 1000 live births. It is usually associated with arthrogryposis and Moebius syndrome with the latter two being more difficult to treat as they require aggressive surgery to achieve a plantigrade foot. We therefore ask what is the evidence level and grade of recommendation of the Ponseti method to treat syndromic talipes equinovarus resulting from arthrogryposis and Moebius syndrome. Methods: Systematic review according to the recommendations of the Cochrane group identifying medical subheadings (MeSH) and of the Boolean method to identify the articles that met the selection criteria through the search of primary sources such as OVID, Cochrane, EBSCOhost, Elsevier, Medigraphic. Results: A total of six papers met the selection criteria through the search in the primary sources. Five of them address the treatment of adduct CTE with the Ponseti method in patients with arthrogryposis, and one in patients with Moebius. Evidence levels and grades of recommendation of these papers were: IV-D (3), III-D (1) y II (B). Conclusions: The Ponseti method is an first-line treatment for arthrogryposis and Moebius syndrome. It is unexpensive, non-invasive and does not require a physician to perform it (however, it does require trained staff). Its use is recommended as it avoids extensive surgeries and medical complications that go beyond the hospitals’ economic possibilities.


REFERENCES

  1. Engesaeter LB: Increasing incidence of clubfoot. Changes in the genes or the environment? Acta Orthop. 2006; 77 (6): 837-8.

  2. Cummings RJ, Davidson RS, Armstrong PF, Lehman WB: Congenital clubfoot. J Bone Joint Surg Am. 2002; 84-A(2): 290-308.

  3. Siapkara A, Duncan R: Congenital talipes equino varus: a review of current management. J Bone Joint Surg Am. 2007; 89(8): 995-1000.

  4. Roye Jr DP, Roye BD: Idiopathic congenital talipes equino varus. J Am Acad Orthop Surg. 2002; 10: 239-48.

  5. Torres-Gómez A, Pérez-Salazar-Marina D, Cassis N: Pie equino varo aducto congénito, prevalencia en una población mexicana. Rev Mex Ortop Pediatr. 2010; 12 (1): 15-18.

  6. Zionts LE, Zhao G, Hitchcock K, Maewal J, Ebramzadeh E: Has the rate of extensive surgery to treat idiopathic clubfoot declined in the United States? J Bone Joint Surg Am. 2010; 92 (4): 882-9.

  7. Haft GF, Walker CG, Crawford HA: Early clubfoot recurrence after use of the Ponseti method in a New Zeland population. J Bone Joint Sur Am. 2007; 89 (3): 487-93.

  8. Herring JA: Tachdjian’s pediatric orthopaedics e-book: from the Texas Scottish Rite Hospital for Children. Elsevier Health Sciences; 2013; 2.

  9. Dobbs MB, Gurnett CA: Update on clubfoot: etiology and treatment. Clin Orthop Relat Rese. 2009; 467 (5): 1146-53.

  10. Hahn G: Arthrogryposis: pediatric review and habilitative aspects. Clin Orthop Relat Res. 1985; 194: 104-14.

  11. Carlson WO, Speck GJ, Vicari V, Wenger DR: Arthrogryposis multiplex congenita: a long-term follow-up study. Clin Orthop Relat Res. 1985; 194: 115-23.

  12. Drummond DS, Cruess RL: The management of the foot and ankle in arthrogryposis multiplex congenita. J Bone Joint Surg Br. 1978; 60: 96-9.

  13. Hall JG, Reed SD, Driscoll EP: Part I Amyoplasia: a common, sporadic condition with congenital contractures. Am J Med Genet. 1983; 15: 571-90.

  14. Lloyd-Roberts GC, Lettin AW: Arthrogryposis multiplex congenita. J Bone Joint Surg Br. 1970; 52: 494-508.

  15. Guidera KJ, Drennan JC: Foot and ankle deformities in arthrogryposis multiplex congenita. Clin Orthop Relat Res. 1985; 194: 93-8.

  16. Choi IH, Yang MS, Chung CY, Cho TJ, Sohn YJ: The treatment of recurrent arthrogrypotic clubfeet in children by the Ilizarov method: a preliminary report. J Bone Joint Surg Br. 2001; 83: 731-7.

  17. Ghali NN, Smith RB, Clayden AD, Silk FF: The results of pantalar reduction in the management of congenital talipes equinovarus. J Bone Joint Surg Br. 1983; 65: 1-7.

  18. Bannister PH, Walker J, Wybar K: Moebius’s syndrome. Br Orthop J. 1976; 33: 69.

  19. Cattaneo L, Chierici E, Bianchi B, Sesenna E, Pavesi G: The localization of facial motor impairment in sporadic Möbius syndrome. Neurology. 2006; 66(12): 1907-12.

  20. Dimeglio A, Bensahel H, Souchet PH, Mazeau PH, Bonnet F: Classification of clubfoot. J Pediatr Orthop B. 1995; 4(2): 129-36.

  21. Roye BD, Hyman J, Roye Jr DP: Congenital idiopathic talipes equinovarus. Pediatrics in review/American Academy of Pediatrics. 2004; 25(4): 124.

  22. Radler C, Manner HM, Suda R, Burghardt R, Herzenberg JE, Ganger R, Grill F: Radiographic evaluation of idiopathic clubfeet undergoing Ponseti treatment. J Bone Join Surg Am. 2007; 89 (6): 1177-83.

  23. Stephens RB, et al: A comparison of to nonoperative methods of idiopathic clubfoot correction. J Bone Joint Surg Am. 2008; 90: 2313-21.

  24. Janicki JA, Narayanan UG, Harvey BJ, Roy A, Weir S, Wright JG: Comparison of surgeon and physiotherapist-directed Ponseti treatment of idiopathic clubfoot. J Bone Joint Surg Am. 2009; 91(5): 1101-8.

  25. Abdelgawad AA, Lehman WB, Van Bosse HJ, Scher DM, Sala DA: Treatment of idiopathic clubfoot using the Ponseti method: minimum 2-year follow-up. J Pediatr Orthop B. 2007; 16(2): 98-105.

  26. Dobbs MB, Nunley R, Schoenecker PL: Long-term follow-up of patients with clubfeet treated with extensive soft tissue release. J Bone Joint Surg Am. 2006; 88(5): 986-96.

  27. Halanski MA, Davison JE, Huang JC, Walker CG, Walsh SJ, Crawford HA: Ponseti method compared with surgical treatment of clubfoot: a prospective comparison. J Bone Joint Surg Am. 2010; 92(2): 270-8.

  28. Cassis N, Capdevila R: Talectomy for clubfoot in arthrogryposis. J Pediatr Orthop. 2000; 20: 652-5.

  29. Brunner R, Hefti F, Tgetgel JD: Arthrogrypotic joint contracture at the knee and the foot: correction with a circular frame. J Pediatr Orthop B. 1997; 6: 192-7.

  30. Peleg D, Nelson GM, Williamson RA, Widness JA: Expanded Möbius syndrome. Pediatr Neurol. 2001; 24(4): 306-9.

  31. Laaveg SJ, Ponseti IV: Long-term results of treatment of congenital club foot. J Bone Joint Surg Am. 1980; 62(1): 23-31.

  32. Ponseti IV, Campos J: Observations on pathogenesis and treatment of congenital clubfoot. Clin Orthop Relat Res. 1972; 84: 50-60.

  33. Willis RB1, Al-Hunaishel M, Guerra L, Kontio K: What proportion of patients need extensive surgery after failure of Ponseti technique for clubfoot. Clin Orthop Relat Res. 2009; 467: 1294-7.

  34. Hsu WK, Bhatia NN, Raskin A, Otsuka NY: Wound complications from idiopathic clubfoot surgery: a comparison of the modified Turco and the Cincinnati treatment methods. J Pediatr Orthop. 2007; 27(3): 329-32.




2020     |     www.medigraphic.com