Gait Analysis Characteristics in Relapsed Clubfoot.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: R.M.K., MD owns stock in Zimmer-Biomet, Medtronic, Pfizer, and Johnson and Johnson. The remaining authors declare no conflicts of interests. 8. Curr Opin Pediatr. 2020 Feb;32(1):100-106. doi: 10.1097/MOP.0000000000000860. Clubfoot for the primary care physician: frequently asked questions. Yau A(1), Doyle SM(2). Author information: (1)MS3, Weill Cornell Medical College. (2)Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA. PURPOSE OF REVIEW: This review aims to provide primary care physicians with updates on recent literature regarding clubfoot and answer questions asked by parents and caregivers of children with clubfoot. The topics discussed include prenatal counseling, relapse after Ponseti treatment, long-term outcomes following successful treatment of clubfoot, and the effect of diagnosis and treatment on the parent or caregiver. RECENT FINDINGS: Clubfoot is one of the most commonly searched orthopaedic conditions on the internet by parents. There is a lack of evidence-based guidelines on clubfoot worldwide. Recent systematic reviews have identified emerging evidence of genetic and modifiable risk factors that lead to clubfoot. Patients treated by the Ponseti method show better ankle power and strength compared with those treated with surgery for residual deformity or recurrence. SUMMARY: The treatment of clubfoot is a long and involved process. Exposure to and familiarity with the Ponseti method will aid primary care physicians and parents in the optimization of children's clubfoot deformity correction using largely nonoperative management. DOI: 10.1097/MOP.0000000000000860