ArticleJournal of children's orthopaedics2019
Challenging clubfeet: the arthrogrypotic clubfoot and the complex clubfoot.
Article in Journal of children's orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is the modified Ponseti method effective in treating atypical and complex clubfoot? A systematic review.International orthopaedics · 2021Pooled it
- Management of Lower-Extremity Deformity in Arthrogryposis Multiplex Congentia: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Bilateral Clubfoot in Nail-Patella Syndrome: A Rare Syndromic Case Successfully Treated with the Ponseti Method.Journal of orthopaedic case reports · 2026Article
- Article
- Midterm clinical and radiological outcomes of arthrogryposis-associated clubfoot treated with the Ponseti method: a retrospective observational study and comprehensive literature review.Journal of orthopaedic surgery and research · 2024Observational
- The Tug Test and Modified Ponseti Casting: A Simple and Reliable Method to Improve the Efficacy of Casting in Complex Clubfoot.Indian journal of orthopaedics · 2023Article
- Review
- Comparative study of the outcome of McKay surgery with and without pin in clubfoot patients.International journal of burns and trauma · 2022Article
- Complications associated with talectomy in paediatric patients: a comparative retrospective study of two surgical techniques.BMC musculoskeletal disorders · 2021Article
- Surgical Treatment of Clubfoot in Children with Moebius Syndrome.Children (Basel, Switzerland) · 2021Article
- Ponseti Casting vs. Soft Tissue Release for the Initial Treatment of Non-idiopathic Clubfoot.Frontiers in surgery · 2021Article
- The Novel Application of Three-Dimensional Printing Assisted Patient-Specific Instrument Osteotomy Guide in the Precise Osteotomy of Adult Talipes Equinovarus.BioMed research international · 2021Article
- Clinical outcomes of iatrogenic complex clubfoot treated with modified Ponseti method.International orthopaedics · 2020Article
- What a paediatrician should know about congenital clubfoot.Italian journal of pediatrics · 2020Article
- Special symposium issue: Clubfoot.Journal of children's orthopaedics · 2019Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Within the realm of clubfoot deformities, teratologic and complex (or atypical) clubfeet stand out as the most difficult. Exemplarities of the teratologic types of clubfoot are those associated with arthrogryposis multiplex congenita. Treatment of arthrogrypotic clubfoot deformities has been controversial; many different procedures have been advocated, with variable success rates. These clubfeet have a high recurrence rate, regardless of treatment type. Often, the high recurrence rate has led to a high repeat surgery rate, and poor outcomes. Treatment strategies should highlight care that avoids the development of a stiffened foot and allows for a variety of options to regain correction when a relapse occurs. Modifications of the Ponseti method for idiopathic clubfeet have been successful in managing the deformity. The equinocavus variant of the arthrogrypotic clubfoot should be distinguished from the classic clubfoot, as it requires a different treatment method. The equinocavus clubfoot is very similar to the complex or atypical clubfoot. The complex, or atypical, clubfoot also requires a different treatment strategy compared with the typical idiopathic congenital clubfoot. The complex clubfoot appears to be idiopathic in some cases and iatrogenic (due to slipping stretching casts) in others. Dr. Ponseti's modification of his protocol has been effective in treating the deformity. The high recurrence rate suggests the difficulty in maintaining the deformity after correction. The author's preferred treatment for each deformity is included, with an emphasis on minimally invasive methods. LEVEL OF EVIDENCE: Level V, expert opinion.
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