Stress radiography in the assessment of residual deformity in clubfoot following postero-medial soft tissue release

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

X-ray is important in the assessment of clubfoot. Stress radiographs give more information than routine radiographs. Because of the inaccuracy of the positioning and the disadvantages of radiation, paediatric orthopaedic surgeons do not like and do not use X-ray examination. In this study we report a technique we use to obtain stress radiographs in paediatric patients with clubfoot using a custom-made radiolucent modular splint. This technique provides better assessment of the initial status and the result of treatment. Although this method has limitations it can help to compare different feet and treatment results with regard to axis and angle. We validated this splint by means of a prospective study in 11 patients with 21 feet having type 2 clubfoot who underwent (PMSTR) in our centre. Two sets of radiographs were taken, one with manual positioning and one with our splint. We found significant differences in the values of midfoot and forefoot radiological parameters between the two sets. We found that the correlation between the clinical and radiological assessment of residual deformity improved significantly for these values when a splint was used to obtain stress views. Hence we recommend routine use of a radiolucent splint for taking stress views to assess residual deformity in clubfoot.

Original languageEnglish (US)
Pages (from-to)210-214
Number of pages5
JournalInternational Orthopaedics
Volume30
Issue number3
DOIs
StatePublished - Jun 2006
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Stress radiography in the assessment of residual deformity in clubfoot following postero-medial soft tissue release'. Together they form a unique fingerprint.

Cite this