Title |
Update on Clubfoot: Etiology and Treatment
|
---|---|
Published in |
Clinical Orthopaedics & Related Research, February 2009
|
DOI | 10.1007/s11999-009-0734-9 |
Pubmed ID | |
Authors |
Matthew B. Dobbs, Christina A. Gurnett |
Abstract |
Although clubfoot is one of the most common congenital abnormalities affecting the lower limb, it remains a challenge not only to understand its genetic origins but also to provide effective long-term treatment. This review provides an update on the etiology of clubfoot as well as current treatment strategies. Understanding the exact genetic etiology of clubfoot may eventually be helpful in determining both prognosis and the selection of appropriate treatment methods in individual patients. The primary treatment goal is to provide long-term correction with a foot that is fully functional and pain-free. To achieve this, a combination of approaches that applies the strengths of several methods (Ponseti method and French method) may be needed. Avoidance of extensive soft-tissue release operations in the primary treatment should be a priority, and the use of surgery for clubfoot correction should be limited to an "a la carte" mode and only after failed conservative methods. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 2 | <1% |
Malaysia | 1 | <1% |
Ukraine | 1 | <1% |
Australia | 1 | <1% |
United States | 1 | <1% |
Luxembourg | 1 | <1% |
Unknown | 362 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 55 | 15% |
Student > Bachelor | 54 | 15% |
Researcher | 30 | 8% |
Student > Master | 29 | 8% |
Student > Doctoral Student | 27 | 7% |
Other | 81 | 22% |
Unknown | 93 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 187 | 51% |
Nursing and Health Professions | 31 | 8% |
Engineering | 13 | 4% |
Agricultural and Biological Sciences | 9 | 2% |
Unspecified | 6 | 2% |
Other | 21 | 6% |
Unknown | 102 | 28% |