The ultrasonography evaluation of talar dysplasia as a potential prognostic factor for predicting the course and outcomes of clubfoot deformity treatment using Ponseti technique

JOCHYMEK, Jiří and Jakub TUREK. The ultrasonography evaluation of talar dysplasia as a potential prognostic factor for predicting the course and outcomes of clubfoot deformity treatment using Ponseti technique. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA. ISTANBUL: TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2018, vol. 52, No 2, p. 87-91. ISSN 1017-995X. Available from: https://dx.doi.org/10.1016/j.aott.2017.11.007.

Basic information

Original name

The ultrasonography evaluation of talar dysplasia as a potential prognostic factor for predicting the course and outcomes of clubfoot deformity treatment using Ponseti technique

Authors

JOCHYMEK, Jiří (203 Czech Republic, guarantor, belonging to the institution) and Jakub TUREK (703 Slovakia, belonging to the institution)

Edition

ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, ISTANBUL, TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2018, 1017-995X

---

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30211 Orthopaedics

Country of publisher

Turkey

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.896

RIV identification code

RIV/00216224:14110/18:00106379

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.aott.2017.11.007

UT WoS

000433350100002

Keywords in English

Ultrasonography; Clubfoot; Achilles tendon; Ponseti method; Tarsal bone; Talar dysplasia

Tags

14110313, rivok

Tags

International impact, Reviewed

---

Abstract

V originále

Objective: The aim of this study was to assess the role of sonographic evaluation of Talar dysplasia in predicting the outcome of standard Ponseti method in the treatment of clubfoot deformity. Methods: A total 23 children (15 boys and 8 girls; mean age: 18.2 +/- 5.4 days (8-32)) who underwent Ponseti treatment were included in the study. Before the treatment, maximal talus length of affected and non-affected feet were measured by US and relative talar dysplasia ratio (RTDR) was calculated. The patients were categorized 2 groups according to RTDR: group A - mild and group B - severe deformity. Pirani score was used for clinical evaluation. The groups were compared in terms of number of the applied casts, need of percutaneous tenotomy of Achilles tendon (AchT) and frequency of deformity recurrence. Results: Pirani score was 4.46 for population (4.33 for group A; 4.54 for group B). Number of casts significantly differed between groups (p < 0.001) and positive correlation was found (r = 0.851, p < 0.001). AchT was performed in 56% cases for group A and in 86% cases for group B; no statistically significant difference was obtained (p = 0.162). Recurrence occurred in 2 patients belonging to group B without significant difference compared to group A (p = 0.502). Conclusion: Talar dysplasia assessment appeared as a promising prognostic factor for predicting the outcome of the Ponseti technique in treatment of clubfoot deformity. (C) 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.