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The clubfoot over the centuries
Ilaria Sanzarello1, Matteo Nanni, Cesare Faldini
1aDepartment of Orthopaedic and Traumatology, University of Messina, Messina bRizzoli-Sicilia Department, Rizzoli Orthopedic Institute, Bagheria (PA) cOrthopedic and Trauma Clinic-Department I, University of Bologna, Rizzoli Orthopedic Institute, Bologna, Italy.
Journal of Pediatric Orthopedics. Part B
|January 24, 2017
Summary
This review explores historical clubfoot treatments, from ancient art to modern methods. The Ponseti method is now the gold standard, though recurrence remains a challenge.
Area of Science:
- Orthopedics and Medical History
- Paediatric Orthopaedics
Background:
- Clubfoot (congenital talipes equinovarus) has been documented throughout history.
- Understanding its pathoanatomy and management has evolved over centuries.
Observation:
- Historical art and literature reveal early observations and treatments.
- Hippocrates first documented clubfoot treatments, followed by Renaissance and 18th-century advancements in orthotics.
Findings:
- Surgical techniques evolved significantly over time.
- Conservative methods, particularly the Ponseti method, are now internationally recognized as the gold standard for clubfoot management.
Implications:
- This historical perspective aids in understanding the progression of clubfoot treatment strategies.
- Further research is needed to address challenges like potential recurrence of clubfoot deformity.
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