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Motor abilities in 182 children treated for idiopathic clubfoot: a comparison between the traditional and the Ponseti

V S Aulie1, V B Halvorsen2, J I Brox3,4

  • 1Division of Pediatric and Adolescent Medicine, Oslo University Hospital, Box 4956 Nydalen, 0424 Oslo, Norway.

Journal of Children'S Orthopaedics
|August 30, 2018
PubMed

Insights

Children treated for idiopathic clubfoot using traditional surgery or the Ponseti method showed similar motor abilities. Most children in both treatment groups achieved normal motor skills, comparable to peers without clubfoot.

Area of Science:

  • Pediatric Orthopedics
  • Developmental Pediatrics
  • Motor Control

Background:

  • Idiopathic clubfoot is a common congenital foot deformity.
  • Treatment methods include traditional extensive surgery and the Ponseti method.
  • Assessing long-term motor outcomes is crucial for children with clubfoot.

Purpose of the Study:

  • To compare motor abilities in children treated for idiopathic clubfoot via traditional surgery versus the Ponseti method.
  • To evaluate motor skills against a control group of children without clubfoot.

Main Methods:

  • A multicentre study in Norway included 89 children treated with traditional surgery and 93 with the Ponseti method (ages 7-10).
  • A control group of 45 age-matched children without clubfoot was recruited.
  • Motor performance was assessed using the Movement Assessment Battery for Children - Second Edition (MABC-2).
  • Analysis of Covariance adjusted for relevant covariates.

Main Results:

  • No significant differences in MABC-2 scores were found between the traditional surgery and Ponseti method groups.
  • 76% of children treated for clubfoot (both methods) had normal motor abilities.
  • 96% of the control group exhibited normal motor abilities.

Conclusions:

  • Approximately three-quarters of children treated for idiopathic clubfoot achieve normal motor abilities by age nine.
  • Both traditional surgery and the Ponseti method yield comparable motor outcomes.
  • While treatment groups showed similar results, motor abilities were lower than in unaffected peers.
Abstract

Keywords:
Movement Assessment Battery for ChildrenPonseticlubfeetcontrolled studymotor abilities

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