J 2019

ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?

JOCHYMEK, Jiří a Tereza PETERKOVÁ

Základní údaje

Originální název

ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?

Autoři

JOCHYMEK, Jiří (203 Česká republika, garant, domácí) a Tereza PETERKOVÁ (203 Česká republika, domácí)

Vydání

ACTA ORTOPEDICA BRASILEIRA, SAO PAULO SP, ATHA COMUNICACAO & EDITORA, 2019, 1413-7852

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30211 Orthopaedics

Stát vydavatele

Brazílie

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 0.570

Kód RIV

RIV/00216224:14110/19:00110983

Organizační jednotka

Lékařská fakulta

UT WoS

000456290500001

Klíčová slova anglicky

Club foot; Foot deformities; congenital Foot

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 18. 10. 2019 12:56, Mgr. Tereza Miškechová

Anotace

V originále

Objective: The aim of this study was to verify whether the Pirani and Dimeglio clinical scoring systems could predict results of Ponseti therapy. Methods: Forty-seven patients with clubfoot deformities treated with the Ponseti method were enrolled in the study. Clinical evaluation with the Pirani and Dimeglio scoring systems was performed before the treatment and after the second cast fixation. The number of fixations, necessity for achillotomy, and recurrence of the deformity were determined as parameters of the therapy results. The patients were divided into three groups according to the severity of their deformities, and the groups were compared with one another. Results: Clubfoot correction required an average of 6.8 casts. Five patients developed a recurrence. Comparing the therapy outcomes among the groups, we found statistically significant differences in the Pirani classification after the second fixation (the number of casts [p = .003] and necessity to perform an achillotomy [p = .014]) and in the Dimeglio scores before therapy (number of casts [p = .034]) and after the second fixation (number of relapses [p = .032]). Conclusion: Although clinical scoring systems showed some dependence on the parameters of treatment outcomes, their predictive function can be used in only a limited way.