Navigation Links
Non-Surgical Clubfoot Treatments Bring High Level of Success
Date:11/3/2008

Two common correction techniques yield positive results

ROSEMONT, Ill., Nov. 3 /PRNewswire-USNewswire/ -- Two non-surgical treatments most commonly used to correct the condition known as clubfoot have similarly high levels of success, according to a new study published in the November 2008 issue of The Journal of Bone and Joint Surgery (http://www.jbjs.org/). While both treatment strategies use different approaches, each brings positive outcomes for most children.

Clubfoot (http://orthoinfo.aaos.org/topic.cfm?topic=A00255) is a birth defect that occurs in approximately one in every 1,000 births, with boys slightly outnumbering girls. The exact cause is not known, but the condition does seem to run in families.

When a baby has clubfoot, one or both feet are turned inward, some so severely that the sole of the foot seems to be facing upward. The involved foot, calf, and leg are smaller and shorter than the normal side. It is not a painful condition, but if it is not treated, clubfoot will cause difficulty when the child learns to walk, and can lead to significant discomfort and disability by the teenage years. The goal of treatment is to correct clubfeet when children are infants, before they learn to walk.

The two non-surgical treatments are:

-- The Ponseti Method

-- The French Functional Method

"These treatments have been around for decades, but they hadn't received wide acceptance," says B. Stephens Richards, M.D., primary author of the study. Dr. Richards is assistant chief of staff and medical director of inpatient services at Texas Scottish Rite Hospital for Children and the current president of the Pediatric Orthopaedic Society of North America. "Until about 15 years ago, the common treatment for clubfoot was still surgery. However, things began to change with the emergence of the Internet. Parents began researching treatment options for their children and found information about the Ponseti and French methods, so interest in these treatments began to spread, and we saw how successful they can be."

In the Ponseti method, the foot is stretched and then placed in a cast extending above the knee. Each week, the orthopaedist removes the cast, stretches the foot further toward the correct position, and recasts it. After three to five casts, the foot is straightened but the heel cord (or Achilles tendon) often remains too tight. The heel cord is then surgically lengthened so the foot can be placed in the normal position. A final cast is worn for three weeks as the heel cord mends. After the cast is removed, the child must then wear a brace full-time for three months and then at night for about two years.

The French functional method consists of daily stretching, exercise, massage, and immobilization of the foot with nonelastic tape to slowly move the foot to the correct position. These therapy sessions are performed primarily by a physical therapist for the first three months, when most of the improvement occurs, but parents receive training during this time in order to perform some of the treatments at home. The taping and splinting continues until the child is two years old. It is important to note that this method is currently not available in many parts of the United States.

In the study, parents were given the choice of the two treatment methods. More than twice as many parents chose the Ponseti Method, in part because of the difficulty for some parents to make the daily visits to the hospital required by the French Functional Method. The average severity of the condition within both groups was about the same. The patients were then followed through the next two years of treatment.

The results were similar:

-- In the Ponseti group:

-- 94.4 percent achieved satisfactory initial correction

-- 37 percent had some recurrence of the condition requiring repeated

casting treatments

-- In the French group:

-- 95 percent achieved satisfactory initial correction

-- 29 percent had some recurrence of the condition requiring further

intervention later

-- In both groups, 16 percent of the patients eventually required surgery

"One of the main reasons for recurrence is noncompliance," says Dr. Richards. "For example, the parents might not brace the child's feet for the required number of hours or may not perform the stretching every day. We know now that non-surgical treatment can have a very good chance of a positive outcome, but parents need to know that complying with the treatment plan is extremely important."

JBJS (http://www.jbjs.org/)

AAOS (http://www.aaos.org/)

Additional information on Clubfoot

(http://orthoinfo.aaos.org/topic.cfm?topic=A00296 )

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.


'/>"/>
SOURCE American Academy of Orthopaedic Surgeons
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Dr. Lisa Zdinak Announces, CO2TouchTM Brazilian Carboxytherapy - New Technology for Non-Surgical Treatment of Stretch Marks, Cellulite and Dark Undereye Circles
2. Non-Surgical Approach Can Treat Lung Cancers
3. New Non-Surgical Stem-Cell Procedure Relieves Degenerative Joint Disease
4. Newly Published Study in Leading Medical Journal Further Confirms the Brava Systems Non-Surgical Breast Enhancement Effectiveness
5. Prominent Farmington Plastic Surgeon Uses Two New Non-Surgical Procedures to Tighten Skin and Remove Fat
6. Gene Plays Key Role in Clubfoot
7. Cancer Patients in Southeastern Florida Now Benefiting From RapidArc(TM) Radiotherapy Treatments
8. If metastasectomy should be performed before other treatments
9. Two Preemie Treatments May Not Help
10. Top Indian Cancer Hospital to Introduce Advanced Radiosurgery Treatments With Novalis Tx from Varian Medical Systems and BrainLAB
11. MicroRNAs make for safer cancer treatments
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... Brooklyn, NY (PRWEB) , ... June 27, 2016 ... ... is using cutting edge technology to revolutionize the emergency ambulance transport experience for ... Many are aware of how Uber has disrupted the taxi industry through the ...
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet ... product that was developed to enhance the health of felines. The formula is all-natural ... two main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews ...
(Date:6/25/2016)... ... , ... The temporary closing of Bruton Memorial Library on June 21 due to a possible ... often overlooked aspect of head lice: the parasite’s ability to live away from a human ... but a necessary one in the event that lice have simply gotten out of control. ...
(Date:6/25/2016)... , ... June 25, 2016 , ... On Friday, June ... a Bronze Wellness at Work award to iHire in recognition of their exemplary accomplishments ... of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Marcy was in a crisis. Her son James, ... out at his family verbally and physically. , “When something upset him, he couldn’t control ... use it. He would throw rocks at my other children and say he was going ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... , June 23, 2016 ... "Pharmaceutical Excipients Market by Type (Organic Chemical (Sugar, ... Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast to ... The global pharmaceutical excipients market ... at a CAGR of 6.1% in the forecast period ...
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on the ... announced that patient enrollment in its ongoing randomized ... has exceeded 50% of its 24-patient target. Capricor ... the third quarter of 2016, and to report ...
Breaking Medicine Technology: