2019
ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?
JOCHYMEK, Jiří a Tereza PETERKOVÁZákladní 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
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.