Espinosa-Urrutia E, Penagos-Paniagua A

Language: English
References: 21
Page: 63-69
PDF size: 97.61 Kb.

ABSTRACT

A clinical assessment is presented on the response of idiopathic congenital clubfoot, classified as rigid, to serial manipulations and immobilization in casts with the Ponseti technique. The study was conducted on 22 newborns (37 feet). Variables in observation were four factors making the deformity (adduction, supine, equinus, and varus). The response is charted against time through statistical testing including the Kaplan-Meier efficiency test and Survival Function. Adducted and supine clubfeet were determined and corrected with an average of 6.5 manipulations having an 89.2% success rate while varus and equinus required an average of 12 manipulations with a 35% to 43% possibility of success. In some cases it became necessary to perform subcutaneous elongation of the Achilles tendon with good response in only 41% of cases. This procedure, therefore, is not recommended. Although conservative treatment does have a possible success rate of over ‹ 50%, it still is the treatment of choice to correct this problem in newborns or as preparation for surgery.

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