J 2019

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

JOCHYMEK, Jiří and Tereza PETERKOVÁ

Basic information

Original name

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

Authors

JOCHYMEK, Jiří (203 Czech Republic, guarantor, belonging to the institution) and Tereza PETERKOVÁ (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30211 Orthopaedics

Country of publisher

Brazil

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 0.570

RIV identification code

RIV/00216224:14110/19:00110983

Organization unit

Faculty of Medicine

UT WoS

000456290500001

Keywords in English

Club foot; Foot deformities; congenital Foot

Tags

Tags

International impact, Reviewed
Změněno: 18/10/2019 12:56, Mgr. Tereza Miškechová

Abstract

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.