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European Orthopaedics and Traumatology

Published in:

01-12-2015 | Original Article

A knee-ankle-foot orthosis in treatment of talipes equino varus (TEV) with better patient compliance

Authors: Khaled Mohamed Emara, Ramy Ahmed Diab

Published in: European Orthopaedics and Traumatology | Issue 4/2015

Abstract

ᅟ

The Ponseti method for the treatment of clubfoot deformity gained worldwide popularity and became the standard of care in many medical centers due to its simplicity and high rate of success. Once the last cast has been removed, adherence to the brace protocol is crucial to prevent recurrence. Reports on failures with the Ponseti method have shown that the decisive factor that led to recurrence of the clubfoot deformity was non-compliance with the foot abduction brace protocol. The purpose of this study was to assess the results of a custom-made knee-ankle-foot brace after successful Ponseti method in terms of compliance and effectiveness in preventing recurrent clubfoot deformities.

Material and methods

Seventy-one idiopathic club feet treated successfully with Ponseti technique followed by a knee-ankle-foot orthosis with external rotation 70°. These patients are followed as regard brace compliance and effectiveness (recurrence of the deformity).

Results

Eight feet lost in the follow-up. The mean duration of follow-up was 52 months (range, 39–82 months). Non-compliance was not reported in any patients. The parents reported fully complied with the treatment instructions. The parents reported simplicity with bracing with no complications reported. Recurrent deformity requiring additional treatment occurred in 11 feet (17.46 %). Additional procedures included repeat tenotomy (nine patients) and limited posterior release with or without tendon transfers (two patients).

Conclusion

Our described orthosis provides simple, safe, and effective brace that is also comfortable for the child.

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Title: A knee-ankle-foot orthosis in treatment of talipes equino varus (TEV) with better patient compliance
Authors: Khaled Mohamed Emara
Ramy Ahmed Diab
Publication date: 01-12-2015
Publisher: Springer Berlin Heidelberg
Published in: European Orthopaedics and Traumatology / Issue 4/2015
Print ISSN: 1867-4569
Electronic ISSN: 1867-4577
DOI: https://doi.org/10.1007/s12570-015-0323-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A knee-ankle-foot orthosis in treatment of talipes equino varus (TEV) with better patient compliance

Abstract

ᅟ

Material and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

ᅟ

Material and methods

Results

Conclusion

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