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  3. 3d Gait Analysis Of Children Treated For Idiopathic Congenital Talipes Equinovarus After Completion Of Ponseti Treatment.
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  3. 3d Gait Analysis Of Children Treated For Idiopathic Congenital Talipes Equinovarus After Completion Of Ponseti Treatment.

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3D Gait Analysis of Children Treated for Idiopathic Congenital Talipes Equinovarus After Completion of Ponseti

Atul R Bhaskar1, Mayuri Gad2, Chasanal M Rathod3

  • 1Department of Orthopaedics, Children Orthopaedic Clinic, Andheri, Mumbai, India.

Indian Journal of Orthopaedics
|November 17, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Children treated for congenital talipes equinovarus (clubfoot) exhibit subtle gait abnormalities, including altered ankle motion and reduced power generation, impacting long-term function. This study analyzed gait patterns in treated clubfoot patients compared to controls.

Keywords:
BilateralClubfeetKinematicsKineticsPower generationUnilateral

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Area of Science:

  • Orthopedics
  • Pediatric Medicine
  • Biomechanics

Background:

  • The Ponseti method is a standard treatment for congenital talipes equinovarus (clubfoot).
  • Understanding the long-term gait effects post-treatment is crucial for patient management.
  • Previous studies have not fully detailed kinematic and kinetic gait deviations in treated clubfoot populations.

Purpose of the Study:

  • To compare kinematic and kinetic gait patterns in children with treated unilateral and bilateral idiopathic clubfeet.
  • To identify specific deviations in gait parameters resulting from clubfoot treatment.
  • To establish a baseline for potential future interventions aimed at improving gait function.

Main Methods:

  • 40 children (mean age 9.61 years) with treated idiopathic clubfeet (23 unilateral, 17 bilateral) were analyzed.
  • Participants had completed 2 years post-splint weaning.
  • 3D gait analysis using a multi-camera motion capture system was performed, alongside clinical examinations of ankle range of motion and deformities.

    • Main Results:

    • Significant differences in ankle dorsiflexion and inversion were observed in treated clubfeet compared to controls.
    • Reduced internal ankle plantar flexor moments and overall ankle power generation were noted in both unilateral and bilateral clubfoot groups.
    • Calf girth and foot size differences were significant in unilateral cases.

    Conclusions:

    • Gait analysis reveals subtle but significant kinetic and kinematic alterations in children following clubfoot treatment.
    • Deviations in ankle rockers and diminished ankle power generation are key findings.
    • These gait changes may have implications for long-term clinical function and require further investigation.