J 2016

ULTRASOUND EVALUATION OF TALAR DYSPLASIA AS A PROGNOSTIC FACTOR IN TREATMENT OF CLUBFOOT DEFORMITY

JOCHYMEK, Jiří a Jakub TUREK

Základní údaje

Originální název

ULTRASOUND EVALUATION OF TALAR DYSPLASIA AS A PROGNOSTIC FACTOR IN TREATMENT OF CLUBFOOT DEFORMITY

Název anglicky

ULTRASOUND EVALUATION OF TALAR DYSPLASIA AS A PROGNOSTIC FACTOR IN TREATMENT OF CLUBFOOT DEFORMITY

Vydání

Pohybové ústrojí, Praha, Ortotika, 2016, 1212-4575

Další údaje

Jazyk

čeština

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/16:00099216

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Clubfoot; Ponseti method;Ultrasound; Tarsal bone; Dysplasia

Štítky

Příznaky

Recenzováno
Změněno: 17. 5. 2018 17:51, Soňa Böhmová

Anotace

V originále

Talar dysplasia plays a crucial role in clubfoot deformity. We worked on presumption that talar dysplasia assessed by ultrasonography (US) could be defined as predictive parameter for the outcomes of the Ponseti treatment. 31 patients with unilateral clubfoot deformity were prospectively evaluated and relative talar dysplasia ratio, calculated by the US measurement, categorized the patients into 2 groups - moderate and severe groups. The outcome of the treatment was defined by 3 parameters - number of casts applied, need of percutaneous achillotomy and recurrence of deformity occurrence. Furthermore, Pirani and Dimeglio scores were calculated and complications were observed. Significant differences predicted by the talar dysplasia were observed in terms of number of cast and need of achillotomy and all recurrence were observed in a group with severe dysplasia. Thus, talar dysplasia assessment appeared as promising prognostic factor for predicting the outcomes of the Ponseti technique in treatment of clubfoot deformity.

Anglicky

Talar dysplasia plays a crucial role in clubfoot deformity. We worked on presumption that talar dysplasia assessed by ultrasonography (US) could be defined as predictive parameter for the outcomes of the Ponseti treatment. 31 patients with unilateral clubfoot deformity were prospectively evaluated and relative talar dysplasia ratio, calculated by the US measurement, categorized the patients into 2 groups - moderate and severe groups. The outcome of the treatment was defined by 3 parameters - number of casts applied, need of percutaneous achillotomy and recurrence of deformity occurrence. Furthermore, Pirani and Dimeglio scores were calculated and complications were observed. Significant differences predicted by the talar dysplasia were observed in terms of number of cast and need of achillotomy and all recurrence were observed in a group with severe dysplasia. Thus, talar dysplasia assessment appeared as promising prognostic factor for predicting the outcomes of the Ponseti technique in treatment of clubfoot deformity.