Evidence map›Paper›PMID 33823837›Full record

ArticleBMC musculoskeletal disorders2021

Radiological tarsal bone morphology in adolescent age of congenital clubfeet treated with the Ponseti method.

Johannes Hamel, Hubert Hörterer, Norbert Harrasser

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

3 authors.

Johannes HamelSchön Klinik München Harlaching, Fachzentrum für Fuß- und Sprunggelenkchirurgie, Harlachinger Str. 51, 81547, Munich, Germany.
Hubert HörtererSchön Klinik München Harlaching, Fachzentrum für Fuß- und Sprunggelenkchirurgie, Harlachinger Str. 51, 81547, Munich, Germany.
Norbert HarrasserKlinikum rechts der Isar, Department of Orthopedics and Sports Orthopedics, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany. norbert.harrasser@mri.tum.de.

Funding

Technische Universität München 123
6 · The paper itself

Abstract

backgroundMajor abnormalities of tarsal bone shape after surgical clubfoot treatment are well known from the literature. The Ponseti method has gained widespread acceptance in primary treatment of congenital clubfeet. Despite the longtime experience, data regarding the development of tarsal bones after this treatment are still rare. The aim of the study was therefore to evaluate radiographic parameters describing tarsal bone shape of clubfeet after Ponseti treatment and compare them to age-matched healthy feet.

methodsTwenty two consecutive severe clubfeet in 14 patients were investigated by repeated diagnostic ultrasound during the corrective process. Extent and temporal course of correction were documented with standardized X-rays after a mean follow-up of 12 years (between the ages of 10-14 years) and compared to a group of age-matched normal feet.

resultsReliability testing for all X-ray parameters showed good to excellent results. In comparison to the control group, all parameters except the radius of the trochlea (RT) were significantly altered in clubfeet with highest differences shown for the anterior talar motion segment (ATM), talonavicular coverage (TNC) and the talometatarsal index (TMT-Index). Differentiation between minor and major deformities showed significant differences only for the front tarsal index (FTI).

conclusionsTarsal bone shape of clubfeet treated by the Ponseti method differs significantly from normal feet. One of the most pronounced and clinically relevant difference of the clubfoot talus compared to the normal talus is the markedly reduced anterior talar motion segment.

Indexed as

ClubfootTarsal BonesAdolescentCasts, SurgicalChildFollow-Up StudiesHumansManipulation, OrthopedicReproducibility of ResultsTreatment OutcomeFlat top talusIdiopathic clubfootTalus developmentTarsal bones

Identifiers

PMID33823837
PMCPMC8025488

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