Management of Clubfoot: Difference between revisions

No edit summary
No edit summary
Line 1: Line 1:
== Introduction ==
== Introduction ==
Clubfoot has been managed over the years both conservatively and surgically.
== Conservative Treatment ==
Of the all the nonsurgical treatment options that are currently available, Ponseti’s Method is a technique proven to be safer and more efficient than surgery for the treatment of clubfoot. It is now widely recommended as being the gold standard for the treatment of idiopathic clubfoot and has been approved on a worldwide basis. Other conservative methods, such as Kite’s method and the French method, are also still applied in many clinical settings.
A recent meta-analysis of nine eligible studies concluded that Ponseti’s Method is safe and efficient for the treatment of clubfoot and decreases the number of surgical interventions required as compared to other “non-Ponseti” methods. Pooled odds ratios evaluation showed a significantly higher rate of fair and poor results, relapse, and requirement for major surgery when using Kite’s method compared to Ponseti’s, but no significant difference was detected comparing Ponseti’s to the French method.
This present meta-analysis showed that Ponseti’s method avoided major surgery in an average of 84.9% patients among different institutions, succeed in an average of 75.6% patients among different institutions, and achieved an excellent or good functional prognosis in an average of 91.1% patients among different institutions.
== Surgical Intervention ==
== References ==
<references /> <br>
[[Category:Intervention]] [[Category:Clubfoot]]

Revision as of 07:29, 17 July 2017

Introduction[edit | edit source]

Clubfoot has been managed over the years both conservatively and surgically.

Conservative Treatment[edit | edit source]

Of the all the nonsurgical treatment options that are currently available, Ponseti’s Method is a technique proven to be safer and more efficient than surgery for the treatment of clubfoot. It is now widely recommended as being the gold standard for the treatment of idiopathic clubfoot and has been approved on a worldwide basis. Other conservative methods, such as Kite’s method and the French method, are also still applied in many clinical settings. A recent meta-analysis of nine eligible studies concluded that Ponseti’s Method is safe and efficient for the treatment of clubfoot and decreases the number of surgical interventions required as compared to other “non-Ponseti” methods. Pooled odds ratios evaluation showed a significantly higher rate of fair and poor results, relapse, and requirement for major surgery when using Kite’s method compared to Ponseti’s, but no significant difference was detected comparing Ponseti’s to the French method. This present meta-analysis showed that Ponseti’s method avoided major surgery in an average of 84.9% patients among different institutions, succeed in an average of 75.6% patients among different institutions, and achieved an excellent or good functional prognosis in an average of 91.1% patients among different institutions.


Surgical Intervention[edit | edit source]

References[edit | edit source]