Correlation of scores with number of Ponseti casts required for clubfoot correction in the older child.
Clubfeet
Dimeglio score
Older children
Pirani score
Ponseti method
Walking child
Journal
Journal of clinical orthopaedics and trauma
ISSN: 0976-5662
Titre abrégé: J Clin Orthop Trauma
Pays: India
ID NLM: 101559469
Informations de publication
Date de publication:
Historique:
received:
10
03
2019
revised:
17
04
2019
accepted:
17
04
2019
entrez:
27
2
2020
pubmed:
27
2
2020
medline:
27
2
2020
Statut:
ppublish
Résumé
We examined the correlation between initial Pirani and Dimeglio scores and their individual components to the number of casts for older clubfoot children. Twenty seven patients (39 feet) aged 2-11 years with idiopathic clubfeet were treated using the Ponseti technique and correlation with number of corrective casts calculated. The number of cast required was counted from application of primary cast to the time of initiation of the foot abduction orthosis. Average 8.45 ± 2.31 (range, 4-13) casts were used for treatment. A low correlation (r = 0.203) was identified when total Dimeglio score was compared with the number of casts. No correlation was identified for Pirani score (r = 0.023). Among individual components, only cavus deformity had a significant positive correlation to cast numbers. The Pirani and Dimeglio classifications still remain the most widely practiced clubfoot severity grading systems for the older clubfoot child. However, their prognostic value to predict the total cast duration from initial severity remains questionable.
Sections du résumé
BACKGROUND
BACKGROUND
We examined the correlation between initial Pirani and Dimeglio scores and their individual components to the number of casts for older clubfoot children.
METHODS
METHODS
Twenty seven patients (39 feet) aged 2-11 years with idiopathic clubfeet were treated using the Ponseti technique and correlation with number of corrective casts calculated. The number of cast required was counted from application of primary cast to the time of initiation of the foot abduction orthosis.
RESULTS
RESULTS
Average 8.45 ± 2.31 (range, 4-13) casts were used for treatment. A low correlation (r = 0.203) was identified when total Dimeglio score was compared with the number of casts. No correlation was identified for Pirani score (r = 0.023). Among individual components, only cavus deformity had a significant positive correlation to cast numbers.
CONCLUSIONS
CONCLUSIONS
The Pirani and Dimeglio classifications still remain the most widely practiced clubfoot severity grading systems for the older clubfoot child. However, their prognostic value to predict the total cast duration from initial severity remains questionable.
Identifiants
pubmed: 32099285
doi: 10.1016/j.jcot.2019.04.011
pii: S0976-5662(19)30204-8
pmc: PMC7026520
doi:
Types de publication
Journal Article
Langues
eng
Pagination
232-235Informations de copyright
© 2019 Delhi Orthopedic Association. All rights reserved.
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