Article
Pediatrics
Jiangchao Zhang, Ningqing Wang, Haixiang Lv, Zhenjiang Liu
Summary: This study evaluated the effectiveness of the Ponseti method for clubfoot correction using MRI and found that the method successfully corrected various deformities. However, incomplete correction was observed regarding the adduction deformity of the transverse talonavicular angle, and the method may cause lateral subluxation of the navicular on the transverse plane.
FRONTIERS IN PEDIATRICS
(2022)
Article
Multidisciplinary Sciences
Anna-Clara Esbjornsson, Arne Johansson, Hanneke Andriesse, Henrik Wallander
Summary: This study aimed to estimate the birth prevalence of children born with isolated or non-isolated clubfoot in Sweden and describe the characteristics of the clubfoot population. Data from a national register was used to calculate the birth prevalence, which was found to be 1.24/1000 live births for isolated clubfoot and 1.35/1000 live births for non-isolated clubfoot. Children with non-isolated clubfoot had more severe deformities and atypical signs compared to those with isolated clubfoot. These findings can be used for planning clubfoot treatment and evaluating trends in clubfoot birth prevalence.
Article
Pediatrics
Maryum Naseer Butt, Wajida Perveen, Carmen-Iulia Ciongradi, Dan Iulian Alexe, Misbah Marryam, Laique Khalid, Daniel Lucian Dobreci, Ioan Sarbu
Summary: The study aimed to evaluate and compare the outcomes of the Ponseti method for different types of clubfoot. The results showed that the effectiveness of the method varied depending on the type of clubfoot. For idiopathic clubfoot, whether untreated or recurrent, the Ponseti method did not produce significant differences in outcome. However, for syndromic clubfoot, the method had poorer results.
Article
Genetics & Heredity
Anna Monica Bianco, Giulia Ragusa, Valentina Di Carlo, Flavio Faletra, Mariateresa Di Stazio, Costantina Racano, Giovanni Trisolino, Stefania Cappellani, Maurizio De Pellegrin, Ignazio d'Addetta, Giuseppe Carluccio, Sergio Monforte, Antonio Andreacchio, Daniela Dibello, Adamo P. d'Adamo
Summary: Current research indicates that the prevalence of pathogenic variants in PITX1 and TBX4 in Italian patients with idiopathic congenital clubfoot is low, with related mutations found in only a minority of cases. This suggests that the development of clubfoot may involve the involvement of other genes and factors.
Article
Multidisciplinary Sciences
Mohammad Ali Tahririan, Sara Kheiri, Mohammadreza Jannesari Ladani, Mohammadreza Piri Ardakani
Summary: This study aimed to evaluate whether radiographic angles could be used for predicting clubfoot recurrence. Measurements of tibiocalcaneal, talocalcaneal, and calcaneal-first metatarsal angles were taken pre and one-year post-tenotomy in 91 patients with congenital clubfoot. The results showed significant differences in angle measurements between patients who experienced relapse and those who did not.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
John M. Ranson, Graham Nuttall, Robin W. Paton
Summary: This retrospective study evaluated the management of Congenial Talipes Equinovarus (CTEV) in relation to national standards and found that a more tailored bracing regime might be appropriate for some cases. Results showed a lower relapse rate in female patients and a higher tendency for surgical intervention in male patients. The study suggests the possibility of a more tailored bracing regime for less severely affected feet, especially in female cases.
JOURNAL OF FOOT & ANKLE SURGERY
(2021)
Article
Medicine, General & Internal
Emmanuel Kowero, Dorica Burengelo, Doreen Philbert, Nathanael Sirili
Summary: Supportive supervision is crucial for providing quality care, and a study in Mwanza, Tanzania found that it plays an important role in maintaining the skills of healthcare workers in clubfoot management.
Article
Orthopedics
Mitzi L. Williams, Matthew B. Dobbs
Summary: Clubfoot, a common congenital musculoskeletal condition, is best treated using the Ponseti technique. Accurate and thorough neurological examinations are necessary for identifying atypical cases and the need for specific corrective maneuvers. Long-term follow-up is crucial for minimizing progressive deformities, emphasizing the importance of individualized care.
CLINICS IN PODIATRIC MEDICINE AND SURGERY
(2024)
Article
Orthopedics
Manye Yao, Chunxu Zhang, Weyland Cheng, Junhong Guo, Shijie Dong
Summary: An observational study evaluated the recovery of older children with relapsed congenital clubfoot who underwent a second Achilles tenotomy, showing slower tendon recovery on the third week post-procedure, possibly due to the location of tenotomy being further away from the musculotendinous junction where extrinsic healing mechanisms take place.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Medicine, General & Internal
Ramavtar Saini, Anshu Sharma, Divyaraj Ravalji, Kuldeep Baisoya, Garima Sharma
Summary: Congenital talipes equinovarus (CTEV), or clubfoot, is a common foot deformity affecting one in every 1,000 live births. The Ponseti casting technique has been found to be more effective and less complicated than surgical methods for managing CTEV. This study conducted in southern Rajasthan, India, included 20 cases of untreated clubfoot, and found that the Ponseti technique significantly improved the deformity and reduced the need for surgical procedures, resulting in safe, effective, and affordable correction with minimal complications.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Review
Orthopedics
Sally M. Trout, Amanda T. Whitaker
Summary: The Ponseti method has good functional outcomes in a mixed NICU population of syndromic and idiopathic clubfoot, and reduces the need for extensive surgical procedures in non-idiopathic clubfoot and idiopathic clubfoot with delayed presentation. It is possible to begin Ponseti treatment in the NICU without compromising medical management, but it is unclear if this has an advantage over waiting for outpatient casting.
FOOT AND ANKLE SURGERY
(2021)
Article
Multidisciplinary Sciences
Georgia Gosse, Emily Ward, Auburn McIntyre, Helen A. Banwell
Summary: The study evaluated the reliability and validity of the weight-bearing lunge test in a population with Congenital Talipes Equinovarus, showing good to excellent reliability and validity among clinicians, clinicians in training, and parents/carers. The test could be used as an assessment measure of dorsiflexion range of motion, with potential for parents/carers to use it at home for monitoring purposes.
Review
Oncology
Lori A. Karol, Kelly A. Jeans
Summary: Clinicians worldwide have widely adopted Ponseti's nonoperative approach in treating clubfoot due to its reported successful outcomes. Long-term physical function assessment through gait analysis and plantar pressure evaluation has been crucial in understanding the functional outcomes of nonoperative treatment.
ANNALS OF TRANSLATIONAL MEDICINE
(2021)
Review
Orthopedics
Omar A. Al-Mohrej, Fawaz N. Alshaalan, Thamer S. Alhussainan
Summary: In 2006, Ponseti modified the standard technique to treat complex clubfoot cases, resulting in high initial correction rates. However, relapse rates remained relatively high despite the modifications.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Pediatrics
Klara Janatova, Tereza Novakova, Frantisek Lopot
Summary: Clubfoot is a common birth deformity and its prevalence varies globally. This study analyzed the incidence of clubfoot in the Czech Republic over a 14-year period. The incidence was found to be higher than previous European studies and varied significantly among different regions of the country.
Article
Orthopedics
Hosam E. Matar, Richard Jenkinson, Daniel Pincus, Raj Satkunasivam, J. Michael Paterson, Bheeshma Ravi
Summary: The study found that younger surgeons (<45 years) had the highest rate of surgical complications following primary total hip arthroplasty in Ontario, while surgeons aged 45-55 had the lowest rate. Older surgeons also had higher complication rates, but when excluding low-volume surgeons, older high-volume surgeons had similar complication rates to middle-aged surgeons.
JOURNAL OF ARTHROPLASTY
(2021)
Editorial Material
Medicine, General & Internal
Hosam E. Matar, Shahzad H. Akhtar, Benjamin V. Bloch
BRITISH JOURNAL OF HOSPITAL MEDICINE
(2021)
Article
Orthopedics
Rajesh Bawale, Hosam E. Matar, Felipe Lopez Illanes, Hugh U. Cameron
Summary: This study retrospectively analyzed the long-term survivorship and radiographic outcomes of complex primary total hip arthroplasty using the S-ROM stem. The results showed an average stem survivorship of 31.5 years with a 30-year estimated survivorship of 97.6%. Good bony ingrowth was noted in the acetabulum and femur, but a small percentage of patients required revision surgery.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Hosam E. Matar, Benjamin Bloch, Peter J. James
Summary: The study demonstrated satisfactory clinical and radiographic outcomes in complex salvage knee revision arthroplasty using endoprostheses with segmental bone loss. Patients with infection had poorer functional scores, but overall survival rate was 80% with a complication rate of 12.1%.
Article
Rheumatology
Shirish R. Sangle, Wajanat Jan, Hosam E. Matar, Sheila Rankin, David P. D'Cruz
Summary: This study aimed to compare the prevalence of arterial stenotic lesions arising from the middle aorta in patients with antiphospholipid antibodies (aPL) to healthy, hypertensive, and atherosclerotic controls. The results showed that the prevalence of stenotic lesions was highest in the atherosclerosis group, and aPL-positive patients had a higher prevalence compared to renal donors and hypertensive patients. Additionally, coeliac and/or mesenteric lesions were more common in aPL-positive patients than in hypertensive patients.
Article
Orthopedics
Hosam E. Matar, Benjamin Bloch, Susan E. Snape, Peter J. James
Summary: This study revealed a significant difference in long-term mortality rates between septic and aseptic revision total knee arthroplasty conducted in a specialist center, with higher mortality rates observed in septic revision surgeries.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
H. E. Matar, B. Bloch, S. E. Snape, P. J. James
Summary: Single-stage revision total knee arthroplasty (rTKA) is an effective strategy with a high success rate comparable to the two-stage approach in treating chronic per-prosthetic joint infections (PJIs). Factors such as the presence of a sinus and age over 80 years were identified as independent risk factors for failure. Patient survivorship at ten years was similar between the single-stage and two-stage groups.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Hosam E. Matar, Benjamin Bloch, Peter J. James
Summary: The study evaluated the outcomes of a hybrid fixation technique in condylar revision total knee arthroplasty, showing excellent survivorship and stability of the implants.
JOURNAL OF ARTHROPLASTY
(2021)
Editorial Material
Cell & Tissue Engineering
H. E. Matar, S. R. Platt, B. V. Bloch, T. N. Board, M. L. Porter, H. U. Cameron, P. J. James
BONE & JOINT RESEARCH
(2022)
Article
Orthopedics
H. Naathan, K. Ilo, R. Berber, H. E. Matar, B. Bloch
Summary: With improvements in perioperative care and the move towards day-case joint replacement surgery, routine blood tests after total joint replacement may not be necessary for all patients.
Article
Orthopedics
H. E. Matar, B. V. Bloch, P. J. James
Summary: This study evaluated the outcomes and complications of the SMILES rotating hinge implant in revision total knee arthroplasty. The results showed satisfactory long-term outcomes with a ten-year implant survivorship of 92.2% and a patellofemoral complication rate of 7.24%.
Article
Orthopedics
B. V. Bloch, H. E. Matar, R. Berber, W. K. Gray, T. W. R. Briggs, P. J. James, A. R. J. Manktelow
Summary: The establishment of the East Midlands Specialist Orthopaedic Network (EMSON) has positively affected the outcomes of revision total knee arthroplasty (rTKA) and revision total hip arthroplasty (rTHA). Patients within the network experienced lower rates of re-revision and complications compared to other hospitals in England.
BONE & JOINT JOURNAL
(2023)
Article
Orthopedics
H. E. Matar, B. Bloch, P. J. James
Summary: This study evaluated the medium-term outcomes and complications of the S-ROM NOILES Rotating Hinge Knee System in revision total knee arthroplasty. The results showed that the implant achieved high ten-year survivorship with a low complication rate.
Article
Orthopedics
B. V. Bloch, J. J. E. White, H. E. Matar, R. Berber, A. R. J. Manktelow
Summary: This study examined the outcomes of different fixation techniques in different age groups. The results showed that cemented fixation had the lowest implant survival in all age groups.
BONE & JOINT JOURNAL
(2022)
Article
Orthopedics
Hosam E. Matar, Benjamin V. Bloch, Peter J. James
Summary: Metaphyseal sleeves play a crucial role in complex revision knee arthroplasty, addressing bone defects with biological fixation techniques and providing a stable tibial platform for optimal joint line positioning and gap balancing, resulting in excellent long-term survivorship and clinical outcomes.
JOURNAL OF ORTHOPAEDICS
(2021)