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International Orthopaedics

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01-10-2018 | Original Paper

Joint hyperlaxity prevents relapses in clubfeet treated by Ponseti method—preliminary results

Authors: Dan Ionuţ Cosma, Andrei Corbu, Dan Viorel Nistor, Adrian Todor, Madalina Valeanu, Jose Morcuende, Sorin Man

Published in: International Orthopaedics | Issue 10/2018

Abstract

Purpose

The aim of the study was to evaluate the role of joint hyperlaxity (by Beighton score) as a protective factor for clubfoot relapse.

Methods

Patients with idiopathic clubfoot treated with the Ponseti method between January 2004 and December 2012, without other congenital foot deformity, and not previously treated by open surgery were included in either the Relapse group (n = 23) if it was a clubfoot relapse or the Control group (n = 19) if no relapse was noted. Joint laxity was evaluated using the Beighton score at the latest follow-up against the Normal group (n = 22, children matched by sex and age without clubfoot deformity).

Results

We found a significantly higher joint laxity in the Control group (4.58, 95% confidence interval [CI]: 2.1–7.06) as compared to the Relapse (3.17, 95% CI: 1.53–4.81, p = 0.032) and Normal (3.14, 95% CI: 1.78–4.5, p = 0.03) groups. The univariate logistic regression showed a 5.28-times increase in the risk of relapse for a Beighton score lower than 4/9 points (odds ratio = 5.28; 95% CI = 1.29–21.5; p = 0.018).

Conclusions

Joint hyperlaxity could be a protective factor for clubfoot relapse.

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Title: Joint hyperlaxity prevents relapses in clubfeet treated by Ponseti method—preliminary results
Authors: Dan Ionuţ Cosma
Andrei Corbu
Dan Viorel Nistor
Adrian Todor
Madalina Valeanu
Jose Morcuende
Sorin Man
Publication date: 01-10-2018
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 10/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-3934-7

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Springer Medicine

Joint hyperlaxity prevents relapses in clubfeet treated by Ponseti method—preliminary results

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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