Ey Batlle Ana Maria*, Vinyals Rodriguez Marta and Míguez Gonzalez Paula

Equipo Ponseti Dra. Anna Ey, Clinica Diagonal (Barcelona), Spain

*Corresponding Author: Ey Batlle Ana Maria, Equipo Ponseti Dra. Anna Ey, Clinica Diagonal (Barcelona), Spain.

Received: December 03, 2021; Published: February 18, 2022

Abstract

Introduction: The incidence with clubfoot, is about 1 to 7/1000 newborns bat its association with Nail Patella Syndrome has never been reported and there are no series of homogeneous treatment of clubfoot associated with this syndrome. Nail-Patella Syndrome is an hereditary onycho-osteodysplasia which has an incidence rate estimated at 1/45.000 newborns. Patients may have hypoplastic or absent patella, dysplastic elbows and iliac exostoses. There may also be renal and ophthalmic alterations.

Objective: To evaluate function and quality of life in patient with clubfoot associated with Nail-Patella Syndrome treated by Ponseti Technique, and to describe its results.

Materials and Methods: Retrospective study of 4 patients (n = 8 feet) treated by Ponseti Technique. The cases were evaluated with detailed medical history, physical examination, total number of casts made for the foot correction, associated complications, description of associated onychopathies, initial correction obtained (Pirani Score), percentage of percutaneous Achilles tenotomy performed, recurrence rate of relapses, tolerance of abduction braces and morphology and foot function. For statistical analysis Chi-square test have been used. Chi-square tests were used in comparison with categorical variables, and expressed as numbers and percentages.

Results: Follow up 4-14y. All cases required between 3-4 casts. All cases required percutaneous Achilles tenotomy. No patient has suffered signs of deformity relapse. According to Laaveg-Ponseti scale, the functional results obtained are 98.6/100. No patient presents residual deformity or complication of any note. Functionally, all 8 feet are painless.

Conclusions: Ponseti Technique is a good method for treatment of clubfoot associated with Nail-Patella Syndrome. It obtains excellent results without any need for additional aggressive surgical treatment.

Keywords: Nail Patella Syndrome; Clubfoot; Ponseti Method; Syndromic Clubfoot

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Citation

Citation: Ey Batlle Ana Maria., et al. “Clubfoot Associated with Nail-patella Syndrome. Evolution and Treatment with Ponseti Method".Acta Scientific Orthopaedics 5.3 (2022): 30-33.

Copyright

Copyright: © 2022 Ey Batlle Ana Maria., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.