Calf Circumference in Clubfoot: The Effect of Patient Gender, Age, Laterality and Brace Duration

Volume 7 | Issue 1 | January-April 2021 | Page: 02-05 | Shobhit Gupta, Anil Agarwal, Mukesh Shanker

Authors: Shobhit Gupta MS Orth. [1], Anil Agarwal MS Orth. [1], Mukesh Shanker MS Orth. [1]

[1] Department of Orthopaedic, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Address of Correspondence
Dr. Shobhit Gupta,
Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.
E-mail: drshobhitgupta@gmail.com

Abstract

Calf circumference is reduced in the leg affected by clubfoot. The effect of brace duration and whether calf circumference increases with age has not been studied in the Indian population. We conducted a cross sectional study on 156 children with idiopathic non-operated clubfeet treated by serial Ponseti casting method. The mean age was 32.7 months (range, 2-120 months). We found significant calf circumference difference in legs with clubfoot which increased with age. The duration of bracing did not significantly affect calf circumference.
Keywords: CTEV; Clubfeet; Calf circumference.

References 

1. Shimode K, Miyagi N, Majima T, Yasuda K, Minami A. Limb length and girth discrepancy of unilateral congenital clubfeet. J Pediatr Orthop B, 2005; 14: 280-4.
2. Maffulli N, Capasso G, Testa V, Borrelli L. Histochemistry of the triceps surae muscle in idiopathic congenital clubfoot. Foot Ankle, 1992; 13: 80-4.
3. Ippolito E, De Maio F, Mancini F, Bellini D, Orefice A. Leg muscle atrophy in idiopathic congenital clubfoot: is it primitive or acquired? J Child Orthop, 2009; 3: 171-8.
4. Ippolito E, Dragoni M, Antonicoli M, Farsetti P, Simonetti G, Masala S. An MRI volumetric study for leg muscles in congenital clubfoot. J Child Orthop, 2012; 6: 433-8.
5. Duce SL, D’Alessandro M, Du Y, Jagpal B, Gilbert FJ, Crichton L, et al. 3D MRI analysis of the lower legs of treated idiopathic congenital talipes equinovarus (clubfoot). PLoS One, 2013; 8: e54100.
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8. Barker S, Downing M, Chesney D, Maffulli N. Assessment of calf volume in congenital talipes equinovarus by computer analysed digital photography. Surgeon, 2012; 10: 84-9.
9. Bohner Beke A, Leidecker E, Koch T, Sramo A, Kránicz J. Lower leg atrophy in congenital talipes equinovarus. Paediatria Croatica, 2014; 58: 176-83.
10. Gamble J, Batista E, Rinsky I. How small is the leg and foot in unilateral clubfoot. Orthopaedic Proceedings, 2012; 94-B: 34.
11. Bechtol CO, Mossman HW. Clubfoot; an embryological study of associated muscle abnormalities. J Bone Joint Surg Am, 1950; 32: 827-38.
12. Flinchum D. Pathological anatomy in talipes equinovarus. J Bone Joint Surg Am, 1953; 35: 111-4.
13. Gray K, Barnes E, Gibbons P, Little D, Burns J. Unilateral versus bilateral clubfoot: an analysis of severity and correlation. J Pediatr Orthop B, 2014; 23: 397-9.
14. Agarwal A, Agrawal N, Barik S, Gupta N. Are bilateral idiopathic clubfeet more severe than unilateral feet? A severity and treatment analysis. J Orthop Surg (Hong Kong), 2018; 26(2): 1 – 2.

How to Cite this Article: Gupta S, Agarwal A, Shanker M | Calf Circumference in Clubfoot: The Effect of Patient Gender, Age, Laterality and Brace Duration | International Journal of Paediatric Orthopaedics | January-April 2021; 7(1): 02-05.

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January-April 2021

Editorial

Volume 7 | Issue 1 | January-April 2021 | Page: 01 | Jayant  S. Sampat

Authors: Jayant S. Sampath FRCSEd (Tr&Orth) [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India

Address of Correspondence
Dr. Jayanth S. Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com

Dear Friends
On behalf of the Editorial Board, I am pleased to present the 1st issue of IJPO for the year 2021. As the world grapples with the pandemic, it has been difficult to find the right frame of mind for research and publication. We would like to record our gratitude to the contributors for the timely completion of the submission and review process.
Dr Maulin Shah has ably curated a symposium on Brachial Plexus Birth Palsy (BPBP) for this issue. The authors include doyens in the field of Brachial Plexus surgery in India. We thank the senior authors for generously sharing their immense experience in managing this difficult problem. The symposium will hopefully act as a practical reference for trainees and practising orthopaedic surgeons alike.
The original articles in this issue deal with familiar problems in Paediatric Orthopaedics namely clubfoot, chronic osteomyelitis and supracondylar fractures of the humerus. The authors describe their experience of managing these problems in a resource-limited setting whilst constantly striving to question current practice and suggest improvements.
We are still a fledgling organisation and need your support to reach greater heights. Please do consider IJPO, the official journal of Paediatric Orthopaedic Society of India when submitting your research work for peer-reviewed publication. The Editorial Board members are making special efforts to improve submitted manuscripts in terms of language and content.
Dr Jayanth S Sampath FRCSEd (Tr & Orth)
Editor.

 

How to Cite this Article:  Sampat JS  | Editorial | International Journal of Paediatric Orthopaedics | January-April 2021; 7(1): 01.

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Editorial

Volume 6 | Issue 2 | May-August 2020 | Page: 2-3 | Jayant S Sampath

Authors: Jayant S Sampath [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India

Address of Correspondence
Dr. Jayanth S Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com,

Dear Friends,
This issue comes with the exciting news that Paediatric Orthopaedic Society of India (POSI) has recognised International Journal Of Paediatric Orthopaedics (IJPO) as its official journal.
IJPO was first published in 2015 with the aim of highlighting the treatment of paediatric orthopaedic conditions in the developing world setting. It is well recognised that existing reputable journals tend to focus on the latest technique or device; resources that may not be available to surgeons in emergent nations or affordable by their patients. Through symposia on practical management of supracondylar fractures, clubfoot and radial clubhand; IJPO has made an energetic beginning in tackling this issue. In addition to traditionally written papers, the journal invites authors to submit a summary of their work as a PowerPoint presentation or videos to supplement an article about a new technique.
Over the last 25 years, POSI has emerged as the leading academic body for paediatric orthopaedics in the Asia-Pacific region. Through its commitment to teaching and research, it has forged strong partnerships with sister societies throughout the world. Several ongoing academic collaborations, travelling fellowships, and joint research projects are destined to bear rich fruit in terms of new insights and understanding about the ongoing challenges in our day to day practice.
With the POSI collaboration, IJPO will be the favoured means of disseminating information to the paediatric orthopaedic community at large. Our call for expansion of the Editorial Board met with an enthusiastic response from POSI members. The new board represents a cross-section of members from across the country and different levels of seniority. With this newfound vigour, we endeavour to review your articles and provide a response quickly. Submissions that require further work will be provided mentorship from a senior POSI member. We aim to get you published without any compromise on quality or the peer-review process.
Our readers’ time will be better utilised if the latest trends and developments are summarised in the form of symposia on specific topics and review articles. IJPO will continue to serve this need with high-quality papers from experts in the field. We will also publish practice guidelines which are brought out from time to time by academic societies throughout the world.
IJPO and POSI remain committed to providing surgeons with easy and free access to the journal. Full-text articles will therefore continue to remain accessible through the IJPO and POSI websites. POSI members are provided the additional benefit of publication without any article processing charge.
We invite all POSI members and well-wishers to join us in this effort to create a stronger journal with a bright long-term future. With your help, we can reach our next milestone of achieving indexation in PubMed.
I look forward to receiving your comments and suggestions on editor.posi.ijpo@gmail.com

Yours Sincerely,
Dr Jayanth S Sampath
Editor

How to Cite this Article: Sampath J | Editorial | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 02-03.

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Can we Predict The Need for Secondary Procedures in Walking DDH?

Volume 6 | Issue 2 | May-August 2020 | Page: 53-58 | Hitesh Chauhan

Authors: Hitesh Chauhan [1]

[1] Pediatric Orthopaedic Surgeon, Radiant Children’s Hospital, Jodhpur, Rajasthan

Address of Correspondence
Dr. Hitesh Chauhan,
Pediatric Orthopaedic Surgeon,
Radiant Children’s Hospital, Jodhpur, Rajasthan
E-mail: hitsanu5@gmail.com

Abstract

In developmental dysplasia of the hip (DDH) diagnosed after walking age, primary intervention in the form of open reduction with or without femoral and innominate osteotomy is the mainstay of treatment. Even in those where the primary reduction has been successful, many will require Further Corrective Surgery (FCS) at a later date. This review article discusses the factors which are important in predicting the need for FCS.
Keywords: DDH; Hip joint arthritis; Hip impingement; Hipdysplasia; Osteotomies in hip dysplasia.

References 

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21. Gillingham BL, Sanchez AA, Wenger DR. Pelvic osteotomies for the treatment of hip dysplasia in children and young adults. J Am Acad Orthop Surg. 1999;7(5):325-337.
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How to Cite this Article: Chauhan H | Can we Predict The Need for Secondary Procedures in Walking DDH? | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 53-58.

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Re-dislocation After Primary Open Reduction in DDH-Management and Early Results

Volume 6 | Issue 2 | May-August 2020 | Page: 48-52 | Vivek Singh, Sunny Chaudhary, Ramapriya Yasam, Varun Garg, Sitanshu Barik

Authors : Vivek Singh [1], Sunny Chaudhary [1], Ramapriya Yasam [1], Varun Garg [1], Sitanshu Barik [1]

[1] Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Address of Correspondence
Dr. Vivek Singh,
Flat No-1/3,First floor,Type 2B,AIIMS Residential Complex,
Veerbhadra Marg, Rishikesh, Uttarakhand,India.
E-mail: singhvr27gmail.com

Abstract

Operative intervention is frequently required in children with developmental dysplasia of hip(DDH) who are >18 months old.The major early and delayed complications following operative intervention are redislocation, avascular necrosis, residual dysplasia and instability. Re-dislocation following primary successful reduction is a devastating
complication. The revision surgery is usually prolonged with more blood loss, risk of further complications and long term immobilisation in a spica cast. The revision surgery is technically demanding and require a lot of preoperative planning. There also remains a possibility of never achieving the reduction of femoral head. The authors present their experience of four cases of DDH which were successfully reduced by open reduction at index procedure but later re-dislocated and required secondary surgery. Careful preoperative planning with CT scan is a must,correcting the abnormal femoral version and providing the femoral head the coverage where exactly it is required is needed. The children after secondary procedure must always be kept under closed supervision till maturity.
Keywords: DDH; Re-dislocation; Open reduction.

References 

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4. Kershaw CJ, Ware HE, Pattinson R, Fixsen JA. Revision of failed open reduction of congenital dislocation of the hip. J Bone Joint Surg Br, 1993; 75: 744-9
5. Chmielewski J, Albiñana J. Failures of open reduction in developmental dislocation of the hip. J Pediatr Orthop B, 2002; 11: 284-9
6. Vitale MG, Skaggs DL. Developmental dysplasia of the hip froms ix months to four years of age. J Am Acad Orthop Surg, 2001; 9: 401-11.
7. Sankar WN, Young CR, Lin AG, et al. Risk factors for failure after open reduction for DDH: a matched cohort analysis. J Pediatr Orthop, 2011; 31(3): 232-9.
8. Bhaskar A, Desai H, Jain G. Risk factors for early redislocation after primary treatment of developmental dysplasia of the hip: Is there a protective influence of the ossific nucleus? Indian J Orthop. 2016; 50(5): 479-85.

How to Cite this Article: Singh V, Chaudhary S, Yasam R, Garg V, Barik S | Re-dislocation After Primary Open Reduction in DDH-Management and Early Results | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 48-52.

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