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Infantile Tuberculous Osteomyelitis of Proximal Tibia-Rare Occurrence: Case Report and Review of Literature

Volume 7 | Issue 3 | September-December 2021 | Page: 35-37 | Jamsheed T, John T John, Dileep S, Divya G DOI-10.13107/ijpo.2021.v07i03.121 Authors: Jamsheed T DNB Ortho. [1], John T John MCH Ortho. [1], Dileep S DNB Ortho. [1], Divya G DNB Ortho [1] [1] Department of Orthopedics, KMCT Medical College, Manassery, Calicut, Kerala, India. Address of Correspondence […]

Walking Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot

Volume 7 | Issue 3 | September-December 2021 | Page: 08-12 | Devashis Barick, Nilesh Joshi, Nikhil Tiwari, Amit Nemade, Ameya Sawarkar DOI-10.13107/ijpo.2021.v07i03.115 Authors: Devashis Barick MS Ortho. [1], Nilesh Joshi MS Ortho. [1], Nikhil Tiwari MS Ortho. [1], Amit Nemade MS Ortho. [1], Ameya Sawarkar MS Ortho. [1] [1] Department of Orthopaedics, NKP SIMS & RC, […]

Infantile Tuberculous Osteomyelitis of Proximal Tibia-Rare Occurrence: Case Report and Review of Literature

Walking Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot

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Infantile Tuberculous Osteomyelitis of Proximal Tibia-Rare Occurrence: Case Report and Review of Literature

Volume 7 | Issue 3 | September-December 2021 | Page: 35-37 | Jamsheed T, John T John, Dileep S, Divya G

DOI-10.13107/ijpo.2021.v07i03.121

Authors: Jamsheed T DNB Ortho. [1], John T John MCH Ortho. [1], Dileep S DNB Ortho. [1], Divya G DNB Ortho [1]

[1] Department of Orthopedics, KMCT Medical College, Manassery, Calicut, Kerala, India.

Address of Correspondence
Dr Jamsheed T
Department of Orthopedics, KMCT Medical College, Manassery, Calicut, Kerala, India.
E-mail: jamsheedthottiyan@gmail.com

Abstract

Skeletal tuberculosis (TB) is uncommon compared to pulmonary tuberculosis, representing 1 – 3% of all cases. Of these, the spine and hips are more involved. Solitary bone tuberculosis is a rare condition in infancy, has non-specific findings and can be misdiagnosed easily.
In our case report, we present tuberculosis osteomyelitis of the proximal tibia in a boy aged nine months who visited our outpatient department with painless swelling in the right leg. Diagnosis was done with radiographs, magnetic resonance imaging (MRI), open biopsy and TB-Polymerase Chain Reaction (PCR). The lesion was managed with debridement and curettage and 9 months of antitubercular chemotherapy.
Bone tuberculosis must be considered in the differential diagnosis of lytic lesions of the proximal tibial metaphysis in infancy.
Keywords: Skeletal tuberculosis, Solitary bone tuberculosis, Tuberculous osteomyelitis, Proximal tibia metaphysis

References

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How to Cite this Article: Jamsheed T, John T John, Dileep S, Divya G | Infantile Tuberculous Osteomyelitis of Proximal Tibia-Rare Occurrence: Case Report and Review of Literature | International Journal of Paediatric Orthopaedics | September-December 2021; 7(3): 35-37.

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Walking Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot

Volume 7 | Issue 3 | September-December 2021 | Page: 08-12 | Devashis Barick, Nilesh Joshi, Nikhil Tiwari, Amit Nemade, Ameya Sawarkar

DOI-10.13107/ijpo.2021.v07i03.115

Authors: Devashis Barick MS Ortho. [1], Nilesh Joshi MS Ortho. [1], Nikhil Tiwari MS Ortho. [1], Amit Nemade MS Ortho. [1], Ameya Sawarkar MS Ortho. [1]

[1] Department of Orthopaedics, NKP SIMS & RC, Nagpur, Maharashtra, India.

Address of Correspondence
Dr Amit Nemade
Assistant Professor, Department of Orthopaedics, NKP SIMS & RC, Nagpur, Maharashtra, India.
E-mail: kidsorth@gmail.com

Abstract

Aim- Parents of children affected with idiopathic clubfoot are anxious that motor development should progress normally. Treatment using Ponseti Method involves cast immobilization, bracing and tenotomy which inhibit the normal movement thereby increasing parental concern. The purpose of this study was to evaluate age at which independent walking was established in infants with idiopathic clubfoot treated using Ponseti method.
Materials & Methods- There were 70 patients in this prospective longitudinal study. All subjects were full term at birth, less than 12 weeks of age at the initiation of treatment for clubfoot and no prior outside treatment had been provided. Patients were treated using the Ponseti method. The children were evaluated prospectively for the commencement of independent walking.
Results- The mean age at which independent walking started was 13.64 + 2.74 months (9 months-22 months). Fifty percent of the affected children were walking by the age of 14 months. Children with relapse walked later by 2.8 months (p=0.017). Children with a family history walked at 11.7 months (p=0.049) which was significantly earlier than the patients without a family history. Other variables had no significant influence on walking age.
Conclusion- A delay of 1.5 months in independent walking age is expected in children with idiopathic clubfoot, which is helpful while counselling the parents at the start of treatment. Relapse during treatment delays walking age further.
Keywords: CTEV, Motor milestone, Independent walking.

References

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How to Cite this Article: Barick D, Joshi N, Tiwari N, Nemade A, Sawarkar A Walking | Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot | International Journal of Paediatric Orthopaedics | September-December 2021; 7(3): 08-12.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Infantile Tuberculous Osteomyelitis of Proximal Tibia-Rare Occurrence: Case Report and Review of Literature

Walking Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot

Infantile Tuberculous Osteomyelitis of Proximal Tibia-Rare Occurrence: Case Report and Review of Literature

Walking Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot

Full Sized Blog Element (Big Preview Pic)

Infantile Tuberculous Osteomyelitis of Proximal Tibia-Rare Occurrence: Case Report and Review of Literature

Authors: Jamsheed T DNB Ortho. [1], John T John MCH Ortho. [1], Dileep S DNB Ortho. [1], Divya G DNB Ortho [1]

Abstract

(Article Text HTML) (Full Text PDF)

Walking Age of Infants Treated with Ponseti Method for Idiopathic Clubfoot

Authors: Devashis Barick MS Ortho. [1], Nilesh Joshi MS Ortho. [1], Nikhil Tiwari MS Ortho. [1], Amit Nemade MS Ortho. [1], Ameya Sawarkar MS Ortho. [1]

Abstract

(Article Text HTML) (Full Text PDF)

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