Are scoring systems useful for predicting results of treatment for clubfoot using the ponseti method?

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F19%3A00070832" target="_blank" >RIV/65269705:_____/19:00070832 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/19:00110983

Result on the web

<a href="http://www.scielo.br/pdf/aob/v27n1/1809-4406-aob-27-01-0008.pdf" target="_blank" >http://www.scielo.br/pdf/aob/v27n1/1809-4406-aob-27-01-0008.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1590/1413-785220192701189801" target="_blank" >10.1590/1413-785220192701189801</a>

Result language

angličtina

Original language name

Are scoring systems useful for predicting results of treatment for clubfoot using the ponseti method?

Original language description

Objective: The aim of this study was to verify whether the Pirani and Dimeglio clinical scoring systems could predict results of Ponseti therapy. Methods: Forty-seven patients with clubfoot deformities treated with the Ponseti method were enrolled in the study. Clinical evaluation with the Pirani and Dimeglio scoring systems was performed before the treatment and after the second cast fixation. The number of fixations, necessity for achillotomy, and recurrence of the deformity were determined as parameters of the therapy results. The patients were divided into three groups according to the severity of their deformities, and the groups were compared with one another. Results: Clubfoot correction required an average of 6.8 casts. Five patients developed a recurrence. Comparing the therapy outcomes among the groups, we found statistically significant differences in the Pirani classification after the second fixation (the number of casts [p = .003] and necessity to perform an achillotomy [p = .014]) and in the Dimeglio scores before therapy (number of casts [p = .034]) and after the second fixation (number of relapses [p = .032]). Conclusion: Although clinical scoring systems showed some dependence on the parameters of treatment outcomes, their predictive function can be used in only a limited way.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30211 - Orthopaedics

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2019

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Acta Ortopedica Brasileira

ISSN

1413-7852

e-ISSN

—

Volume of the periodical

27

Issue of the periodical within the volume

1

Country of publishing house

BR - BRAZIL

Number of pages

4

Pages from-to

8-11

UT code for WoS article

000456290500001

EID of the result in the Scopus database

2-s2.0-85060517099