Published online Nov 18, 2022. doi: 10.5312/wjo.v13.i11.986
Peer-review started: August 29, 2022
First decision: October 24, 2022
Revised: October 29, 2022
Accepted: November 2, 2022
Article in press: November 2, 2022
Published online: November 18, 2022
Processing time: 79 Days and 6.2 Hours
Idiopathic clubfoot is an abnormal bone alignment and there are currently failure cases resulting from the currently acceptable treatment protocol. Postoperative radiographs are expected to predict outcomes beginning at the prewalking age.
To predict the outcome and early prevention in cases that may fail with Ponseti’s method, considering the lack of radiographic postoperative studies and almost none of the disadvantages of radiation taken once, we decided to use the simple radiographic method for outcome prediction.
To assess the correlation between immediately postoperative radiographic parameters and functional outcomes.
Patients with idiopathic clubfoot were assessed for radiographic parameters immediately postoperatively, and functional scores were assessed at follow-up.
The tibiocalcaneal and talocalcaneal angles showed significant differences between each functional outcome, and the tibiocalcaneal angle had a strong effect, with a smaller angle seeming better.
The tibiocalcaneal angle, derived from lateral radiographs immediately after Achilles tenotomy and cast, can predict functional outcome at 1 year postoperatively.
A larger population and long-term follow-up of 5 to 10 years would provide a better correlation of the radiographic parameters and functional outcomes.