Casting, Clubfoot, Ponseti Method, Talipes Equinovarus
Conditions
Brief summary
The purpose of this study was to determine the influence of cast material on correction of congenital idiopathic clubfeet using the Ponseti method.
Detailed description
Congenital idiopathic clubfoot is the most common congenital deformity in children. It can be a major cause of disability for children, as well as an emotional stress for parents. The Ponseti method of clubfoot correction, consisting of serial manipulations and casting, is now the gold standard of treatment. It has traditionally been described using plaster of Paris (POP) above-knee casts; however, recently semi-rigid fiberglass softcast (SRF, 3M Scotchcast) has grown in popularity. There are currently no randomized controlled trials to prove its efficacy with respect to POP.
Interventions
DEVICEPlaster of Paris (POP) casting using the Ponseti Method
DEVICESemi-Rigid Fiberglass softcast using the Ponseti Method
Sponsors
Alberta Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Weeks to 12 Weeks
Inclusion criteria
* congenital idiopathic clubfoot
Exclusion criteria
* positional equinovarus * teratologic etiologies of clubfoot * treatment started at another center * refuse randomization * do not understand English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of casts required to correct the clubfoot deformities | time required for the foot to be ready for a percutaneous tendo-achilles tenotomy (if necessary), or when dorsiflexion of the ankle greater than or equal to 15 degrees (Pirani=0) was achieved |
Secondary
| Measure | Time frame |
|---|---|
| total time in casts (weeks) | — |
| ease of cast removal | — |
| need for percutaneous tendo-achilles tenotomy | — |
| method(s) of cast removal | — |
| other concerns about the casting material (e.g. appearance, weight, cleaning, water resistance), and complications relating to the casting material. | — |
| time of cast removal | number of minutes required for each cast removal |
Countries
Canada
Outcome results
None listed