The Effectiveness of the Ponseti Method for Treating Clubfoot Associated With XXXX .

@entity1 @entity2907 @entity4670 @entity1347 @entity5149 @entity51 @entity85
BACKGROUND: @entity2907 ( @entity2907 ) is a @entity4670 with an associated incidence of @entity85 in over 50% of @entity1 . Although early reports in the literature demonstrated a poor response to casting treatments, recent application of the Ponseti technique in @entity2907 @entity1 have been more promising. METHODS: A retrospective review of all @entity1 with @entity5149 and a concurrent diagnosis of @entity2907 were reviewed at a single institution. @entity1 not managed initially with the Ponseti method were excluded. Data collected included @entity1 age at presentation, sex, unilateral or bilateral, @entity2907 and associated findings, and response to treatment-number of casts and requirement of Achilles tenotomy, @entity1347 . Duration of treatment at latest follow-up visit was noted and outcome was based on clinical foot appearance and plan for any further procedures. RESULTS: Twelve @entity1 (7 female and 5 male) with a total of 21 feet (9 bilateral and 3 unilateral) were identified. The average age at presentation was 3 weeks (range, 1 to 9 wk). The average number of casts was 6 (range, 3 to 11). Seventeen of 21 feet (81.0%) underwent percutaneous Achilles tenotomy. The initial correction rate for all @entity1 with the Ponseti technique was 20/21 feet (95.2%) and recurrence was noted in 7/21 feet (33.3%). One @entity1 underwent primary posteromedial release and 2 @entity1 had associated @entity51 . The average follow-up was 3.9 years (range, 9 mo to 10 y) and all but one @entity1 had supple, plantigrade feet. CONCLUSION: The Ponseti technique is an effective first-line treatment in @entity1 who have clubfeet associated with @entity2907 , including those with a @entity51 . LEVEL OF EVIDENCE: Level IV.
