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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216224:14110/19:00110983

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2019

Kód důvěrnosti údajů

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

Název periodika

Acta Ortopedica Brasileira

ISSN

1413-7852

e-ISSN

—

Svazek periodika

27

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

BR - Brazilská federativní republika

Počet stran výsledku

4

Strana od-do

8-11

Kód UT WoS článku

000456290500001

EID výsledku v databázi Scopus

2-s2.0-85060517099