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The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment

Introduction Persistent foot adduction is one of the residual deformity encountered after clubfoot treatment. Foot bimalleolar angle (FBA) has been recently described for initial clubfoot assessment as an objective, specific and numerical way of assessing foot adduction. There are several clinica...

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Main Author: Shieng, Chong Teck
Format: Thesis
Language:English
Published: 2021
Subjects:
R Medicine
RD701-811 Orthopedic surgery
Online Access:http://eprints.usm.my/57283/1/DR%20CHONG%20TECK%20SHIENG-24%20pages.pdf
http://eprints.usm.my/57283/
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spelling my.usm.eprints.57283 http://eprints.usm.my/57283/ The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment Shieng, Chong Teck R Medicine RD701-811 Orthopedic surgery Introduction Persistent foot adduction is one of the residual deformity encountered after clubfoot treatment. Foot bimalleolar angle (FBA) has been recently described for initial clubfoot assessment as an objective, specific and numerical way of assessing foot adduction. There are several clinical and functional outcome scoring system after clubfoot treatment, but clinical outcome assessment by Jain et al is more practical and objective. The aim of this study is to evaluate the correlation of initial Pirani score with FBA and Jain clinical outcome in post treatment patients. Methodology Foot tracings with the level of both the malleoli of children who completed Ponseti treatment for clubfoot from January 2009 to June 2019 were taken. The anteromedial angle between the long axis of foot and the bimalleolar plane was taken as the FBA angle. Initial Pirani severity score was collected from patients’ medical records, and patients were graded post Ponseti treatment according to Jain clinical outcome. Results Comparisons of initial Pirani score, FBA and Jain clinical outcome was done in 26 feet (16 patients). There was a moderate, significantly negative correlation(r = -0.62, p = 0.001, n= 26) between Pirani score and FBA. A child with a unit increase of Pirani score has 2.85 odd of a reduction in FBA. Kruskal Wallis test revealed a statistically significant relationship between Pirani severity score and Jain clinical outcome (p=0.01) as well as a statistically significant relationship between FBA and Jain clinical outcome (p=0.01). Conclusion The inital Pirani score inversely correlates with post treatment FBA. Poorer FBA and higher initial Pirani score is associated with a tendency to have a poorer Jain clinical outcome. 2021 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/57283/1/DR%20CHONG%20TECK%20SHIENG-24%20pages.pdf Shieng, Chong Teck (2021) The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment. Masters thesis, Universiti Sains Malaysia.
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic R Medicine
RD701-811 Orthopedic surgery
spellingShingle R Medicine
RD701-811 Orthopedic surgery
Shieng, Chong Teck
The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment
description Introduction Persistent foot adduction is one of the residual deformity encountered after clubfoot treatment. Foot bimalleolar angle (FBA) has been recently described for initial clubfoot assessment as an objective, specific and numerical way of assessing foot adduction. There are several clinical and functional outcome scoring system after clubfoot treatment, but clinical outcome assessment by Jain et al is more practical and objective. The aim of this study is to evaluate the correlation of initial Pirani score with FBA and Jain clinical outcome in post treatment patients. Methodology Foot tracings with the level of both the malleoli of children who completed Ponseti treatment for clubfoot from January 2009 to June 2019 were taken. The anteromedial angle between the long axis of foot and the bimalleolar plane was taken as the FBA angle. Initial Pirani severity score was collected from patients’ medical records, and patients were graded post Ponseti treatment according to Jain clinical outcome. Results Comparisons of initial Pirani score, FBA and Jain clinical outcome was done in 26 feet (16 patients). There was a moderate, significantly negative correlation(r = -0.62, p = 0.001, n= 26) between Pirani score and FBA. A child with a unit increase of Pirani score has 2.85 odd of a reduction in FBA. Kruskal Wallis test revealed a statistically significant relationship between Pirani severity score and Jain clinical outcome (p=0.01) as well as a statistically significant relationship between FBA and Jain clinical outcome (p=0.01). Conclusion The inital Pirani score inversely correlates with post treatment FBA. Poorer FBA and higher initial Pirani score is associated with a tendency to have a poorer Jain clinical outcome.
format Thesis
author Shieng, Chong Teck
author_facet Shieng, Chong Teck
author_sort Shieng, Chong Teck
title The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment
title_short The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment
title_full The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment
title_fullStr The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment
title_full_unstemmed The effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment
title_sort effect of severity of club foot based on pirani severity score on the clinical outcome and the foot bimalleolar angle at the end of treatment
publishDate 2021
url http://eprints.usm.my/57283/1/DR%20CHONG%20TECK%20SHIENG-24%20pages.pdf
http://eprints.usm.my/57283/
_version_ 1761617379593289728
score 13.211869

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