Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release
- 4 September 2007
- journal article
- research article
- Published by Springer Science and Business Media LLC in International Orthopaedics
- Vol. 33 (1), 225-229
- https://doi.org/10.1007/s00264-007-0448-0
Abstract
The controversy regarding the radiographic parameter which best represents the various deformities of clubfoot continues. The aim of our study was to clear up this controversy. Fifty surgically treated (soft-tissue release) congenital clubfeet were studied clinically using Laaveg and Ponseti score and radiologically using twelve different radiographic parameters in weight-bearing AP and lateral views. The talo-calcaneal angle (TCA) in AP and lateral view showed statistically significant correlation with the functional rating, but significant variation in the dimension of the angles among the different functional groups was found with AP angle only. The talo-first metatarsal angle in AP and lateral view averaged 10° and 19° respectively, and showed significant correlation with the functional rating. The talo-navicular subluxation in AP, the calcaneo–fifth metatarsal angle and the first–fifth metatarsal angle in lateral view did not show any significant correlation with function. Talo-calcaneal index averaged 44° in the clubfeet and showed significant correlation. The wide range of parameters representing each of the deformities gives a better radiological assessment of the clubfoot than any single parameter.Keywords
This publication has 33 references indexed in Scilit:
- Patient-Based Outcomes After Clubfoot SurgeryJournal of Pediatric Orthopaedics, 2001
- Patient-Based Outcomes After Clubfoot SurgeryJournal of Pediatric Orthopaedics, 2001
- The Functional Outcome of Staged Surgery for the Correction of Talipes EquinovarusJournal of Pediatric Orthopaedics, 2000
- Significance of radiographic angle measurements in evaluation of congenital clubfoot.Archives of orthopaedic and trauma surgery, 1998
- A Comparison of the Long-Term Results of Posterior and Comprehensive Release in the Treatment of ClubfootJournal of Pediatric Orthopaedics, 1997
- Critical Analysis of Results in Club Feet Treated Surgically Along the Norris Carroll ApproachJournal of Pediatric Orthopaedics, 1989
- One-Stage Posteromedial Release of Congenital ClubfootJournal of Pediatric Orthopaedics, 1988
- Results of Posteromedial Release for the Resistant ClubfootJournal of Pediatric Orthopaedics, 1986
- A Radiographic Study of Skeletal Deformities in Treated ClubfeetClinical Orthopaedics and Related Research, 1981
- Early Surgical Treatment of Congenital ClubfootClinical Orthopaedics and Related Research, 1974