Publication details

ULTRASOUND EVALUATION OF TALAR DYSPLASIA AS A PROGNOSTIC FACTOR IN TREATMENT OF CLUBFOOT DEFORMITY

Authors

JOCHYMEK Jiří TUREK Jakub

Year of publication 2016
Type Article in Periodical
Magazine / Source Pohybové ústrojí
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords Clubfoot; Ponseti method;Ultrasound; Tarsal bone; Dysplasia
Description Talar dysplasia plays a crucial role in clubfoot deformity. We worked on presumption that talar dysplasia assessed by ultrasonography (US) could be defined as predictive parameter for the outcomes of the Ponseti treatment. 31 patients with unilateral clubfoot deformity were prospectively evaluated and relative talar dysplasia ratio, calculated by the US measurement, categorized the patients into 2 groups - moderate and severe groups. The outcome of the treatment was defined by 3 parameters - number of casts applied, need of percutaneous achillotomy and recurrence of deformity occurrence. Furthermore, Pirani and Dimeglio scores were calculated and complications were observed. Significant differences predicted by the talar dysplasia were observed in terms of number of cast and need of achillotomy and all recurrence were observed in a group with severe dysplasia. Thus, talar dysplasia assessment appeared as promising prognostic factor for predicting the outcomes of the Ponseti technique in treatment of clubfoot deformity.