The Ponseti method of clubfoot treatment in walking age children: is it effective? A study of 56 children from 1 to 10 years of age

The Ponseti method is well-established for the treatment of clubfoot in younger babies; however, its effectiveness in older children is still unclear. The aim of our study was to report our results of the ‘traditional’ Ponseti method in the management of clubfoot in children of walking age. A total of 56 (81 clubfeet) children with a mean age of 3.16±2.35 years (1–10 years) were divided into two groups: group I consisted of 12 (18 clubfeet) patients with a mean age of 3.36±2.7 years (range: 1–8.4 years) who presented with an untreated clubfoot whereas group II consisted of 44 (63 clubfeet) patients with a mean age of 3.19±2.34 years (range: 1–10 years) who presented with a recurrent clubfoot. All children underwent the standard manipulation and casting technique described by Ponseti, including a percutaneous tenotomy of the Tendo Achilles. The bracing protocol was modified appropriately. All feet corrected with a mean of 7.36 (3–17) casts in group I and 4.49 (1–12) casts in group II. All children in group I and 70.45% in group II underwent a percutaneous Tendo Achilles tenotomy. There was a statistically significant change between the pretreatment and post-treatment Pirani scores in both groups. Nineteen (30.86%) patients underwent relapse at a mean follow-up of 2.84±1.25 years (1.2–5.4 years), who were treated by re-casting, bracing and tibialis anterior tendon transfer. The Ponseti method is effecti...
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: ANKLE & FOOT Source Type: research

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Conclusions: Cases with silicosis can develop complications like tuberculosis, lung cancer, progressive massive fibrosis, cor pulmonale, broncholithiasis, or tracheobronchial compression by lymph nodes. Pleural involvement in silicosis is rare. Spontaneous pneumothorax is a pleural complication that can develop in such cases. Usually in silicosis pneumothorax is unilateral. We report here an original article with silicosis who presented with bilateral spontaneous pneumothoraxes occurring simultaneously. The rarity of its clinical presentation in the form of bilateral simultaneous spontaneous pneumothorax combined with the ...
Source: Indian Journal of Occupational and Environmental Medicine - Category: Occupational Health Authors: Source Type: research
ConclusionsAdjunctive procedures that can facilitate a decrease in the cumulative dosages of corticosteroids and immunosuppressants have great value in the management of PV. CO2 laser vaporization is a safe procedure with minimal morbidity and no long-term side effects and should be considered as an adjunctive treatment option for management of recalcitrant lesions in patients with oral PV.
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
ConclusionsDental-related pain is often managed by nondental health care professionals in an ED or urgent care setting. An EHR alert may help quickly identify high-risk patients; however, the impact of alerts on prescribing patterns needs further evaluation. The decision regarding the type and quantity of medication to prescribe is complicated by lack of patient access to definitive dental treatment and lack of dental-specific training of prescribers. The limitations of this study include selective inclusion of encounters with specific ICD-9/ICD-10 codes, data limited to objectively searchable criteria, data collection for...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
Publication date: January 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 129, Issue 1Author(s): MARINA LINS MAYMONE DE MELO, THYAGO MORAIS VICENTE DA SILVA, THAYANARA SILVA MELO, IGOR HENRIQUE SILVA, ALESSANDRA TAVARES CARVALHO, JAIR CARNEIRO LEÃO, LUIZ ALCINO MONTEIRO GUEIROSIntroductionDelayed bone repair postdental extraction in patients who underwent head and neck radiation is a clinical challenge, and an adequate management is necessary to prevent osteoradionecrosis.ObjectiveTo evaluate the effect of photobiomodulation (PBM) in the alveolar mucosal healing of patients submitt...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
The objective is to report conservative treatment based on the use of dermal fillers for a case of recurrent AC. This is a case report of an 80-year-old patient with a history of recurrent AC that was not resolved with a conventional approach. The patient presented deep and irregular Y-shaped wrinkles by the union of the nasolabial fold with the labial commissure, which is why we chose to perform a mesh lift injection from the mentolabial sulcus with a 28-gauge needle.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
We report 2 cases of patients diagnosed with aplastic anemia that underwent surgical dental procedures. Patient 1, male, 27 years old, 4000 platelets/mm3, needed extraction of the 3 left inferior molars. Patient 2, female, 18 years old, 5000 platelets/mm3, had referred pain in the first left lower molar with the need of extraction.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
The present study aims to report a case of a cystic lesion affecting the left paramental edentulous mandible region in a 62-year-old female patient. The patient reported a 1-year growth history, and noted pain in the area during the last few months. Clinical inspection showed a multilobulated, translucent swelling with a well-defined cystic radiolucency aspect on imaging examination. Presurgical puncture of the lesion revealed a transparent liquid content. A cystic decompression was then performed and the obtained specimen from the roof of the lesion was submitted for histopathologic examination.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
Crouzon syndrome is an autosomal dominant inheritance that affects the FGFR2 receptors, manifesting as craniosynostosis of the coronal and sagittal sutures. This clinical case reports the treatment of 47-year-old patient C.A.P. whose main complaint was related to obstructive sleep apnea. He reported other syndromic characteristics such as phonetic difficulty, respiratory and masticatory pain, bilateral pain in the temporomandibular joint, and headaches. Clinically, maxillary hypoplasia was observed, associated with exophthalmos and mandibular prognathism.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
Nondental health care professionals are often responsible for the management of dental-related complaints with use of prescription of opioids for analgesia. Prescribing patterns are influenced by prescribers ’ inability to provide definitive dental treatment and limited patient access to dentists for care. The PRIMUM Group, a multidisciplinary team at our institution, formulated criteria based on peer-reviewed literature and consensus opinion to identify patients potentially at high risk for misuse, a buse, and diversion of prescription-controlled substances.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
Conclusions: Substantial agreement exists among experts regarding many strong recommendations for the best early management of severe abdominal trauma.
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
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