ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP

WB Lehman; DM Scher; JHP van Bosse; DS Feldman; DA Sala

doi:10.1302/0301-620X.88BSUPP_II.0880346d

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ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP

WB Lehman
DM Scher
JHP van Bosse
DS Feldman
DA Sala

ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP

Lehman W, Scher D, van Bosse J, Feldman D, Sala D. ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP. Orthop Procs. 2006;88-B(SUPP_II):346-346. doi:10.1302/0301-620X.88BSUPP_II.0880346d

Lehman, WB, et al. “ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP.” Orthopaedic Proceedings, vol. 88-B, no. SUPP_II, 2006, pp. 346-346., https://doi.org/10.1302/0301-620X.88BSUPP_II.0880346d

Lehman, W., Scher, D., van Bosse, J., Feldman, D., & Sala, D. (2006). ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP. Orthopaedic Proceedings, 88-B(SUPP_II), 346-346. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880346d

Lehman, W., Scher, D., van Bosse, J., Feldman, D. and Sala, D. (2006) “ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP.” Orthopaedic Proceedings, 88-B(SUPP_II), pp. 346-346. Available at: https://doi.org/10.1302/0301-620X.88BSUPP_II.0880346d

Lehman, WB, DM Scher, JHP van Bosse, DS Feldman, and DA Sala. “ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP.” Orthopaedic Proceedings 88-B, no. SUPP_II (2006): 346-346. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880346d

Lehman W, Scher D, van Bosse J, Feldman D, Sala D. ANALYSIS OF 89 PATIENTS WITH 136 CLUBFEET TREATED BY THE PONSETI TECHNIQUE WITH A TWO-YEAR FOLLOW-UP. Orthop Procs. 2006 May 1;88-B(SUPP_II):346-346. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880346d

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Abstract

Purpose: A retrospective study to determine the causes of failure of the Ponseti technique and treatment for those failed feet.

Materials and Methods: Eighty-nine patients with 136 clubfeet were treated by the Ponseti technique and evaluated on the Dimeglio/Bensahel and Catterall/ Pirani scoring systems. Six patients with 9 clubfeet were not corrected and therefore did not enter the dynamic ankle-foot orthosis stage. These 6 patients started treatment after the age of 8 months, except for one patient who was 9 weeks old at the start of treatment. Of these 9 feet, 8 underwent open Achilles tendon releases combined with posterior releases. Three of these feet had percutaneous Achilles tenotomies prior to their failure and 1 foot underwent complete soft tissue clubfoot releases. Eighty-three patients (127 clubfeet) completed the Ponseti technique. Eighteen patients with 28 club-feet were lost to 2-year follow-up (Group A), and 65 patients with 99 clubfeet (78.3%) had a greater than 2-year follow-up (Group B).

Results: Nine out of a total of 136 clubfeet failed the Ponseti technique. At 2-year follow-up, one-third (29/99) required additional procedure(s). At application of the dynamic ankle-foot orthosis in Group B, patients’ rating scores were similar. However, after 2-year follow-up, the noncompliant group’s scores (no orthosis) changed significantly for the worse when compared to the compliant group’s scores who used the orthosis for 2 years. After 2-year follow-up, Group B patients in the orthosis-compliant group had better scores than the 2-year failures (29 feet) who underwent further surgery and the initial 9 feet who failed the Pon-seti technique.

The abstracts were prepared by Orah Naor, IOA Co-ordinator and Secretary. Correspondence should be addressed to Israel Orthopaedic Association, PO Box 7845, Haifa 31074, Israel.