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10.1097/MD.0000000000026389

http://scihub22266oqcxt.onion/10.1097/MD.0000000000026389
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34160419!8238334!34160419
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suck abstract from ncbi


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pmid34160419      Medicine+(Baltimore) 2021 ; 100 (25): e26389
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  • The impact of Covid-19 pandemic related lockdown on clubfoot practice: Type of study design: Retrospective cross-sectional study #MMPMID34160419
  • Ozbay H; Toy S; Polat O
  • Medicine (Baltimore) 2021[Jun]; 100 (25): e26389 PMID34160419show ga
  • We investigated whether the number of pediatric patients with congenital clubfoot treated with the Ponseti method decreased during the Covid-19 pandemic or not in a rural area. So we aimed to guide orthopedic surgeons and health infrastructure for future pandemics to be prepared in hospitals of rural areas for the treatment of children with congenital clubfoot.One hundred and fifty-four patients with clubfoot who were admitted to our clinic were evaluated retrospectively from March 2017 to December 2020. Institutional hospital electronic database was used to detect the number of weeks between the birth and first cast performed in clinic and the number of casts been applied and unilaterality or bilaterality. Patients were divided into four groups, which included pandemic period and three previous years. Recorded data were analyzed statistically to detect if there is a difference between the numbers of the patients in pandemic period and three previous years.The number of patients with clubfoot admitted to our hospital between March 2020 and December 2020 increased by 140% compared to previous year. There was a statistically significant difference between the average number of cast applications of Group 4 and other groups (P <.001). Achilles tenotomy was performed in 44 (61.1%) of 72 patients admitted during the pandemic period. Only 4 (13.3%) out of 30 patients admitted between March 2019 and December 2019 were performed Achilles tenotomy.We detected an increase in the number of clubfoot cases admitted to our rural-based hospital during the Covid-19 pandemic, treated with casting or surgically. We think this is because of preventive measures during the pandemic, which caused parents could not reach urban for treatment.
  • |Achilles Tendon/surgery[MESH]
  • |COVID-19/epidemiology/*prevention & control/transmission[MESH]
  • |Casts, Surgical/*statistics & numerical data[MESH]
  • |Clubfoot/diagnosis/*therapy[MESH]
  • |Communicable Disease Control/standards[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Health Services Accessibility/standards/*statistics & numerical data[MESH]
  • |Hospitals, Rural/standards/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Male[MESH]
  • |Orthopedic Surgeons/statistics & numerical data[MESH]
  • |Outpatient Clinics, Hospital/standards/statistics & numerical data[MESH]
  • |Pandemics/prevention & control[MESH]
  • |Retrospective Studies[MESH]
  • |Tenotomy/standards/*statistics & numerical data[MESH]


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