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2015 ; 94
(33
): e1379
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Kite versus Ponseti Method in the Treatment of 235 Feet With Idiopathic Clubfoot:
Results of a Single Romanian Medical Center
#MMPMID26287427
Derzsi Z
; Nagy Ö
; Gozar H
; Gurzu S
; Pop TS
Medicine (Baltimore)
2015[Aug]; 94
(33
): e1379
PMID26287427
show ga
Congenital idiopathic clubfoot (CC) represents the fifth common most congenital
malformation which may be treated conservatively or by surgery. In this article,
we present the results obtained in our clinic after conservative therapy
performed with 2 methods.A total of 235 consecutive feet (161 patients) were
conservatively treated using Kite (n?=?129) and Ponseti method (n?=?106). The
Dimeglio score was determined before and at 6 months after treatment to compare
the 2 methods. All of the patients were treated in their first week of life.CC
was more frequently diagnosed in males (n?=?93; 57.76%), bilaterality being seen
in 45.96% of the patients (n?=?74). Although before therapy the Dimeglio score
was similar in both groups (P?=?0.85), it was significantly improved in patients
treated by Ponseti method (P?=?0.005). Duration of therapy was also longer in
patients from Kite versus Ponseti group (20 vs 11 weeks). Failure of orthopedic
treatment was more frequent in Kite group (30.32% vs 8.49% of the patients) and
the relapses rate at 6 months was also higher (35.65% vs 11.32%).The conservative
method used to treat the CC should be adapted on the patient's age and Ponseti
method seems to be the most effective type of treatment used for patients treated
in their first week of life. Dimeglio score can be successfully used for
evaluation of these children. This is the eighth published study that compare the
efficacy of Kite versus Ponseti method.
|*Manipulation, Orthopedic/adverse effects/methods/statistics & numerical data
[MESH]