Equinocavovarus Untreated congenital clubfoot in school, adolescent and adult patients. Current concepts review
DOI:
https://doi.org/10.1016/j.rccot.2020.12.002Keywords:
clubfoot deformity, idiopatic clubfoot, adult, neglected, talipes, adolescent, congenital, Ponseti metod, tibialis anterior tendón transfe, preschool, school, acquired, manipulation, flat-top talus, outcome, nonoperative, children, older, residual, relapsedAbstract
Untreated congenital clubfoot in school, adolescent and adult patients. Current concepts review
Abstract In the last decades, Ponseti’s Method (PM) has become the gold standard for the treatment of clubfoot. Although in the new born patients is indisputable, the implementation of this method in older patients has been slower due to the small amount of protocols that supports it and the difficulty of follow ups, which limits a timely treatment, creating in addition to the deformity and the limitation in the gait, extensive areas of pressure that makes their treatment more difficult. Therefore, in this revision the intention is to display the importance of this method for the non treated clubfoot in patients of walking age, as it’s definitive treatment, or alternatively, as part of it’s treatment, and in the future of PM making it accessible to all new borns, avoiding the need to perform such technique for the treatment of this pathology in older patients.
Evidence Level: IV
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References
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