Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: Should it affect bracing protocol when using the ponseti method?

Y. Hemo, R. Gigi, S. Wientroub

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose To point out the need to take into account the dysplastic nature of tarsal bones when treating idiopathic clubfoot (CF). Methods Review the published evidence on the developmental abnormalities of tarsal bones in idiopathic CF. Results The literature review provides abundant proof of the existence of delayed appearance and slower development of ossification centres of tarsal bones in idiopathic clubfoot. Conclusion Gentle manipulations and casting are the cornerstone of the Ponseti method. The biological response of all foot elements is critical for a successful outcome. Delayed ossification and abnormal development of tarsal bones in idiopathic CF may affect the results. Development of a personalized tailored bracing protocol based on severity assessment and response to casting treatment will improve results and quality of care in CF management.

Original languageEnglish
Pages (from-to)265-270
Number of pages6
JournalJournal of Children's Orthopaedics
Volume13
Issue number3
DOIs
StatePublished - 2019

Keywords

  • Clubfoot
  • Ossification
  • Ponseti
  • Tarsal abnormalities

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