The effect of clinical, radiographic and functional scores on the total score in the evaluation of congenital clubfoot

The use of radical surgical treatments in treating congenital clubfoot is decreasing. Minimally invasive surgical treatment (MIST) is a way of treating congenital clubfoot, which is a kind of compromise between a radical surgical treatment and non-operational one. A few protocols of different author...

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Bibliographic Details
Published in:Medicinski arhiv 2014-08, Vol.68 (4), p.254-258
Main Authors: Rakonjac, Zoran, Brdar, Radivoj, Popovic, Miroslav
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Clubfoot - diagnosis
Clubfoot - surgery
Congenital Abnormalities - diagnosis
Congenital Abnormalities - surgery
Female
Humans
Male
Minimally Invasive Surgical Procedures - methods
Original
Orthopedic Procedures - methods
Prospective Studies
Severity of Illness Index
Treatment Outcome
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Summary:The use of radical surgical treatments in treating congenital clubfoot is decreasing. Minimally invasive surgical treatment (MIST) is a way of treating congenital clubfoot, which is a kind of compromise between a radical surgical treatment and non-operational one. A few protocols of different authors McKay, Macnicol, Stevens, Meyer, G.W.Simons and Laaveg-Ponseti were used in the evaluation of the results. SCIENTIFIC OBJECTIVE: To determine the importance and role of groups of parameters (clinical, radiographic and functional) in the evaluation of the results in patients treated with the two methods (radical operation and MIST). This paper covers children who were treated for structural (idiopathic) form of PEVC. The testing is a prospective study and was conducted in two groups of patients. Group A (radical surgical treatment) - control group, where the total number of subjects was 50, out of which 35 male (70%) and 15 female (30%). The number of feet tested was 88. Group B (minimally invasive surgical treatment-MIST)-experimental group. The total number of subjects was 48, out of which 35 male (73%) and 13 female (27%). The number of feet tested was 84. For the analysis of the results, we used a questionnaire. The total number of parameters was fifteen, clinical, radiographic and functional, five parameters of each. Normal findings or measured value was determined by 0 points. The range of the total score (TS-a- total score range) 0-27 points, and the results were sorted out into the folowing categories: good result (0-5) satisfactory (6-11), poor (12-19) and deformity recrudescence (20-27) points. The proportion of good results at 88 feet in group A was 0,477 as at 84 feet in group B it was significantly higher and came to 0,893. The difference between these proportions is statistically highly significant (t = 5.84, p
ISSN:0350-199X
1986-5961
DOI:10.5455/medarh.2014.68.254-258