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

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:

URL

Impact factor

Impact factor: 0.570

RIV identification code

RIV/00216224:14110/19:00110983

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1590/1413-785220192701189801

UT WoS

000456290500001

Keywords in English

Club foot; Foot deformities; congenital Foot

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.

Citovat

JOCHYMEK, Jiří and Tereza PETERKOVÁ. ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD? ACTA ORTOPEDICA BRASILEIRA. SAO PAULO SP: ATHA COMUNICACAO & EDITORA, 2019, vol. 27, No 1, p. 8-11. ISSN 1413-7852. Available from: https://dx.doi.org/10.1590/1413-785220192701189801.

@article{1570436,
   author = {Jochymek, Jiří and Peterková, Tereza},
   article_location = {SAO PAULO SP},
   article_number = {1},
   doi = {http://dx.doi.org/10.1590/1413-785220192701189801},
   keywords = {Club foot; Foot deformities; congenital Foot},
   language = {eng},
   issn = {1413-7852},
   journal = {ACTA ORTOPEDICA BRASILEIRA},
   title = {ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?},
   url = {http://dx.doi.org/10.1590/1413-785220192701189801},
   volume = {27},
   year = {2019}
}

TY  - JOUR
ID  - 1570436
AU  - Jochymek, Jiří - Peterková, Tereza
PY  - 2019
TI  - ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?
JF  - ACTA ORTOPEDICA BRASILEIRA
VL  - 27
IS  - 1
SP  - 8-11
EP  - 8-11
PB  - ATHA COMUNICACAO & EDITORA
SN  - 14137852
KW  - Club foot
KW  - Foot deformities
KW  - congenital Foot
UR  - http://dx.doi.org/10.1590/1413-785220192701189801
L2  - http://dx.doi.org/10.1590/1413-785220192701189801
N2  - 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.
ER  -

JOCHYMEK, Jiří and Tereza PETERKOVÁ. ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD? \textit{ACTA ORTOPEDICA BRASILEIRA}. SAO PAULO SP: ATHA COMUNICACAO \&{}amp; EDITORA, 2019, vol.~27, No~1, p.~8-11. ISSN~1413-7852. Available from: https://dx.doi.org/10.1590/1413-785220192701189801.

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