Antonio Luiz Gonçalves Brandão*, Bruno Gil de Carvalho Lima, Guillermo Oscar Hernández Tierno, Milena Oliveira Silva Cruz and Monica Paschoal Nogueira

Sister Dulce Social Works (OSID), Salvador, BA, Brazil

*Corresponding Author: Antonio Luiz Gonçalves Brandão, Sister Dulce Social Works (OSID), Salvador, BA, Brazil.

Received: December 19, 2022; Published: February 02, 2023

Abstract

Background: Idiopathic clubfoot is the most common congenital deformity of the foot and the Ponseti method has been widely used as the of choice for treatment. Your treatment should be started early in life, in spite of feet treated late reports that are increasing in the literature. The evaluation method is clinical and based on the clinical appearance and function and requires tests to prove the good found in these assessments.

Objective: Evaluate the radiograph as a method of measuring effectiveness of Ponseti method for the treatment of unilateral congenital clubfeet using plain radiography.

Methods: We conducted a retrospective study from medical record data on patients with congenital idiopathic unilateral clubfoot, with ages ranging from 48 to 177 months. Patients underwent radiographs in anteroposterior and lateral view, in weight bearing and angles were traced to measure the relationship between the tarsal bones of the middle and hind foot of the treaty and normal.

Results: The final average Pirani score was 0.35. Statistical analysis showed that the calcaneal-fifth metatarsal angle on the anteroposterior view, tibial-calcaneal and the horizontal-calcaneus in lateral view, also showed when subjected to the comparison test similarity, with p values > 0.05. Other angles did not show statistical similarity when compared with the foot control (p < 0.01). All angles were within the normal range when compared to literature data. There was no significant correlation between radiographic results and parameter based on Pirani’s score.

Conclusion: Radiography is not an appropriate method to evaluate the effectiveness of the results of the Ponseti method in cases of unilateral idiopathic congenital clubfeet and may be indicated for after infancy or in treatments of neglected cases. There were no significant correlation between radiographic findings and clinical parameters used to assess correction.

Keywords: Clubfoot; Therapy; Clubfoot; Radiography; Foot Deformities; Congenital

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Citation

Citation: Antonio Luiz Gonçalves Brandão., et al. “Radiographic Evaluation of Patients Undergoing Treatment of Idiopathic Clubfoot by the Ponseti Method”Acta Scientific Orthopaedics 6.3 (2023): 03-10.

Copyright

Copyright: © 2023 Antonio Luiz Gonçalves Brandão., 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.