Publication: Result of a minimum 5-year follow-up after Ponseti serial casting in congenital idiopathic clubfoot
Issued Date
2019-01-01
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ISSN
01252208
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2-s2.0-85074651526
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.102, No.10 (2019), 30-33
Suggested Citation
C. Chotigavanichaya, P. Eamsobhana, T. Ariyawatkul, J. Wongcharoenwatana, C. Saelim, K. Kaewpornsawan Result of a minimum 5-year follow-up after Ponseti serial casting in congenital idiopathic clubfoot. Journal of the Medical Association of Thailand. Vol.102, No.10 (2019), 30-33. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/52036
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Title
Result of a minimum 5-year follow-up after Ponseti serial casting in congenital idiopathic clubfoot
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Abstract
© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2019 Background: Ponseti technique has become a standard treatment for congenital idiopathic clubfoot. Some cases require surgical release to achieve a pain-free, flexible and plantigrade foot. Objective: To evaluate the result of congenital idiopathic clubfoot with Ponseti serial casting in intermediate-term follow-up. Materials and Methods: The authors performed a retrospective cohort analysis of congenital idiopathic clubfoot patients who underwent primary treatment by Ponseti serial casting and who were followed-up for at least 5 years between January 2006 and December 2012. Demographic data, age at the beginning of treatment, Functional Rating System (FRS) clubfoot of Laaveg and Ponseti, talocalcaneal angle x-ray, and complication data were collected. Results: Thirty-three feet from 24 patients (14 males and 10 females) were included, with an average age at beginning of casting treatment of 6.18 weeks (range: 1 to 24). Average follow-up time was 5.94 years (range: 5.07 to 8.35). Mean FRS score was 95.35 (range: 89 to 98). Average talocalcaneal angle of AP and lateral view were 24.89° and 23.46°, respectively. Complications were found in 5 feet and recurrence occurred in 5 feet. Conclusion: Ponseti serial casting for treatment of congenital idiopathic clubfoot showed satisfactory FRS score at the 5-year follow-up.