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JOCHYMEK, Jiří and Jakub TUREK. ULTRASOUND EVALUATION OF TALAR DYSPLASIA AS A PROGNOSTIC FACTOR IN TREATMENT OF CLUBFOOT DEFORMITY. Pohybové ústrojí. Praha: Ortotika, 2016, vol. 23, No 1, p. 94-103. ISSN 1212-4575.
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Basic information
Original name ULTRASOUND EVALUATION OF TALAR DYSPLASIA AS A PROGNOSTIC FACTOR IN TREATMENT OF CLUBFOOT DEFORMITY
Name (in English) ULTRASOUND EVALUATION OF TALAR DYSPLASIA AS A PROGNOSTIC FACTOR IN TREATMENT OF CLUBFOOT DEFORMITY
Authors JOCHYMEK, Jiří (203 Czech Republic, guarantor, belonging to the institution) and Jakub TUREK (703 Slovakia, belonging to the institution).
Edition Pohybové ústrojí, Praha, Ortotika, 2016, 1212-4575.
Other information
Original language Czech
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/16:00099216
Organization unit Faculty of Medicine
Keywords in English Clubfoot; Ponseti method;Ultrasound; Tarsal bone; Dysplasia
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Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 17/5/2018 17:51.
Abstract
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.
Abstract (in English)
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.
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