This anomaly consists distortion of the foot with four components: forefoot adduction and supination and heel varus and equinus. Panajot Boga was used gradual gentle manipulation and correction according to Kite method. In our Country when it was established the treatment of this pathology by Prof Dr. Three main methods of conservative treatments decribed in literature are: Kite method, Ponseti Method, French Method. So, many children with pesequinovarus, born in March-April period, which corresponds to the period of conception in June-July, where the incidence of enterovirus infections is higher. This theory is supported by several studies that have found a link to seasonality, with the incidence of clubfoot. There is also a theory which connects infectious etiology of clubfoot, with enterovirus infections in the period after conception. To explain the etiology of this deformation born, are also made other studies-microscopic histological. The latest Japanese theory indicates that the cause is a neuromuscular dysfunction, in which there is a partial loss of intrauterine innervations and later recovered. Ethiological factors suspected for this malformation are: abnormal positioning of the fetus, toxins, temperature, infectious pathogens, medication, electromagnetic radiation but also genetic factors including: chromosomal abnormalities, genes associated with sex, single dominant genes, recessive genes. International Journal of Orthopaedics 2014 1(3): 116-119 Available from: URL: Ĭongenital Clubfoot is the second most common congenital deformity in orthopedics after the congenital hip dysplasia, with an incidence ranging from 0.6 to 6.8 per 1,000 live births (Figure 1). Results of Clubfoot Treatment with Kite Method. Key Words: Congenital clubfoot Kite method Ponseti method Cast treatment While the rest of the treatment started 8-14 and 1-2 months after birth.ĬONCLUSION: Kite method had a low success rate in our serie of clubfoot patients, so we do not recommend any more the use of this method for conservative treatment of clubfoot. Fourteen per cent of patients started treatment within 7 days of life and success has been 95%, 30% started treatment within 15 to 30 days, 14.9% have started treatment within the first 2-3 months after birth.
The success of the method used in our service proved to be 74%. Seventy four per cent of patients did not need surgery and others had need for surgical intervention. RESULTS: This study included 107 patients, of whom 68 were males and 39 females. In our country the ratio male: female was 1.7:1.
Then we applied for 3 more months in plaster cast by changing it every 2-3 weeks.When treatment ends, family members were taught about exercises for foot and keeping Denis Brown shoes. Treatment duration is approximately 6 months and at the end of the first 3 months of treatment, Achilles tenotomy was performed. Kite Method consists in conservative treatment with cast by gradual gentle manipulation. Accepted error is less than 5% (p <0:05). The statistical method used is the Fisher-Student test. METHODS: We have studied clinical charts of 2008-2010 from statistic department of Service of Orthopaedic and Traumatology “ Prof Dr. AIM: CThe goal of this study is to evaluate the success of clubfoot treatment by Kite method regarding the relaps rate and need for open surgical correction.
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