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

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.

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

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Other information

Language

Czech

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/16:00099216

Organization unit

Faculty of Medicine

Keywords in English

Clubfoot; Ponseti method;Ultrasound; Tarsal bone; Dysplasia

Tags

EL OK

Tags

Reviewed

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Abstract

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.

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.