Evidence map›Paper›PMID 27818969›Full record

ArticleRevista brasileira de ortopedia

Surgical treatment of neglected clubfoot using external fixator.

Rodrigo Mota Pacheco Fernandes, Maurilio Darcy Dos Santos Mendes, Renato Amorim, Marcus Aurélio Preti, Marcelo Back Sternick, Guilherme Pelosini Gaiarsa

Open access · hybridAbstract read
In one paragraph

Article in Revista brasileira de ortopedia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Use of external fixators in developing countries: a short socioeconomic analysis.Cost effectiveness and resource allocation : C/E · 2022
    Review
  5. Article
  6. Article
  7. Article
  8. [Treatment of knee flexion contracture with Ilizarov technology after burns].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018
    Article
  9. Treatment of rigid congenital clubfoot with Ilizarov technique in older childrenZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018
    Article
  10. Article
  11. [Effectiveness of Ilizarov technique in treatment of clubfoot after burns].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018
    Article
  12. [Ilizarov technique combined with limited surgery for correction of spastic clubfoot in adolescents with cerebral palsy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Rodrigo Mota Pacheco FernandesHospital Estadual da Criança, Rio de Janeiro, RJ, Brazil.
Maurilio Darcy Dos Santos MendesHospital Estadual da Criança, Rio de Janeiro, RJ, Brazil.
Renato AmorimUniversidade Federal de Santa Catarina (UFSC), Departamento de Ortopedia, Florianópolis, SC, Brazil.
Marcus Aurélio PretiHospital de Urgência e Emergência Metropolitano de Ananindeua, Ananindeua, PA, Brazil.
Marcelo Back SternickHospital Felício Rocho, Belo Horizonte, MG, Brazil.
Guilherme Pelosini GaiarsaUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Hospital Estadual Centra · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRHospital Felício Rocho · BRUniversidade Federal de Santa Catarina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The definition of neglected clubfoot (NC) includes a variable range of complex deformities of the foot that are refractory to conventional treatments or are treated inappropriately. Several etiologies may be related to this. The Ilizarov method has become established as a tool for treating these deformities. It minimizes soft-tissue damage through gradual correction of the deformity, with a high success rate in relation to achieving a plantigrade foot, with low incidence of recurrence. The indications for treatment include severe rigid deformities (Dimeglio III and IV), or adverse skin conditions. Careful clinical and radiological examination is fundamental for proper planning and installation of the external fixator. The techniques used include selection of external fixation assemblies, which can be closed when there is a connection between the leg, hindfoot and forefoot. This closed assembly may or may not be constricted, according to whether hinges are provided or whether use of the natural anatomical hinges during correction of the deformity is envisaged. An open assembly makes it possible to add flexibility to the foot through histogenesis, while allowing closed corrections of greater precision later on. Hexapod fixators are an innovation with high potential for accuracy in correcting deformities. Procedures associated with external fixation include soft-tissue release and bone procedures. These procedures enable corrections that are more anatomical, for different degrees of severity and stiffness of deformity. It can be concluded from analyzing this case series that treatment of neglected clubfoot using an external fixator has a high rate of good and excellent results, with low frequency of complications.

Indexed as

ClubfootCongenital abnormalitiesExternal fixationExternal fixatorsSurgical procedures, operative

Identifiers

PMID27818969
PMCPMC5090959
OpenAlexW2511927932

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.