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This study aims to compare the effectiveness of the original Denis Brawn brace to its modification in managing relapsed idiopathic clubfoot in patients following Ponseti casting.
Clubfoot is an intricate deformity of the ankle and foot involving bony malalignment, adduction of the forefoot, and hindfoot varus, cavus, and equinus caused by contracture of soft tissues.
Lack of compliance causes the majority of relapse, as the child may have problems sleeping and wearing the Dennis Brown Splint; that is why parental counseling is vital and very much important in this regard.
Bracing plays a vital role in the maintenance of corrected club foot and allows the foot to achieve normal position after tenotomy, followed by serial casting. Bracing holds the foot not in a corrected but in an overcorrected position so that the normal position of the foot could be achieved after the correction. Without bracing, it is almost impossible for the physician or the surgeon to maintain the correction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I | Patients who were managed with the original Denis Browne splint. |
| |
| Group II | Patients who were managed with the modified Denis Browne splint. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Original Denis Browne splint | Procedure | Patients who were managed with the original Denis Browne splint. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Parents' compliance | Parents' compliance will be classified into three grades as follows:
| 12 months post-procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy in maintaining correction measured by the Pirani score | The Pirani scoring system is reliable, quick, and easy to use, and provides a good forecast about the likely treatment for an individual foot. It involves evaluating six clinical signs of contracture, with scores ranging from 0 to 1 for each sign, and a higher score indicating a more severe deformity. All the patients treated will undergo thorough evaluation to find out other systemic diseases, and grading of the feet as per the modified Pirani scoring system. |
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Inclusion Criteria:
Exclusion Criteria:
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This retrospective study will be carried out on 60 patients with idiopathic clubfoot after approval from the institutional ethical committee.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mahmoud M Abdallah, MD | Contact | 00201006194146 | Mma-ortho@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Authority for Teaching Hospitals and Institutes | Recruiting | Cairo | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| Modified Denis Browne splint | Procedure | Patients who were managed with the modified Denis Browne splint. |
|
| 12 months post-procedure |
| Incidence of complications | Incidence of complications will be recorded. | 12 months post-procedure |