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. 2017 Aug 18;8(8):624-630.
doi: 10.5312/wjo.v8.i8.624.

Ponseti method treatment of neglected idiopathic clubfoot: Preliminary results of a multi-center study in Nigeria

Olayinka O Adegbehingbe  1 , Adeoye J Adetiloye  1 , Ladipo Adewole  1 , Dennis U Ajodo  1 , Nosirudeen Bello  1 , Oluwadare Esan  1 , Alex C Hoover  1 , James Ior  1 , Omolade Lasebikan  1 , Owolabi Ojo  1 , Anthony Olasinde  1 , David Songden  1 , Jose A Morcuende  1
Affiliations

Ponseti method treatment of neglected idiopathic clubfoot: Preliminary results of a multi-center study in Nigeria

Olayinka O Adegbehingbe et al. World J Orthop. .

Abstract

Aim: To evaluate the effectiveness of the Ponseti method for initial correction of neglected clubfoot cases in multiple centers throughout Nigeria.

Methods: Patient charts were reviewed through the International Clubfoot Registry for 12 different Ponseti clubfoot treatment centers and 328 clubfeet (225 patients) met inclusion criteria. All patients were treated by the method described by Ponseti including manipulation and casting with percutaneous Achilles tenotomy as needed.

Results: A painless plantigrade foot was obtained in 255 feet (78%) without the need for extensive soft tissue release and/or bony procedures.

Conclusion: We conclude that the Ponseti method is a safe, effective and low-cost treatment for initial correction of neglected idiopathic clubfoot presenting after walking age. Long-term follow-up will be required to assess outcomes.

Keywords: Neglected clubfoot; Nigeria; Ponseti method; Walking age.

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Conflict of interest statement

Conflict-of-interest statement: The authors have no financial relationships to disclose.

Figures

Figure 1
Figure 1
Map of clubfoot clinic sites. A: LASUCOM; B: FMC Abeokuta; C: University of Ilorin; D: Obafemi Awolowo University; E: Wesley Guild Hospital Ilesa; F: FMC Ido-Ekiti; G: Ekiti St Teaching Hospital; H: FMC Owo; I: Gwarinpa GH; J: FMC Keffi; K: NOH Enugu; L: NKST-Mkar, Benue.
Figure 2
Figure 2
Number of casts required for correction.
Figure 3
Figure 3
Neglected clubfoot treatment algorithm. Adapted form Ref. [29].
See this image and copyright information in PMC

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