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Antonio Luiz Gonçalves Brandão

Antonio Luiz Gonçalves Brandão

Professor Orthopedics and Traumatology COT

Title: Radiographic evaluation of patients undergoing treatment of idiopathic clubfoot by the Ponseti method


Antonio Gonçalves is graduated in Medicine at the Bahia Foundation for Science Development - FBDC (1996), Specialization - Medical Residency in Orthopedics and Traumatology at COT - Martagão (1997-1999) and Pediatric Orthopaedics and Foot Surgery in HCRP-USP (2000- 2001). He is currently Orthopedist of Sister Dulce Social Works (OSID) of the Orthopedics and Traumatology Clinic (COT), Doctor's Office - Medical Center Fernando Filgueiras, coordinator of Orthopedics Child Hospital Pediatric of Social Works of Sister Dulce (since 2001), Coordinator Child Trauma Suburban Hospital (since 2010). Since 2001 staff  in Orthopedics and Traumatology COT.  Master degree in Healthy Tecnology at Escola Bahiana de Medicina (EBM).


Objective: Evaluate the radiograph as a method of measuring effectiveness of Ponseti technique for the treatment of unilateral congenital clubfeet using plain radiography. Methods: We conducted a descriptive, retrospective study from medical record data on patients with congenital idiopathic unilateral clubfoot, with ages ranging from 48 to 177 months. Patients underwent radiographs in anteroposterior and profile, load and angles were traced to measure the relationship between the tarsal bones of the middle and hind foot of the treaty and normal.

Results: The final average Pirani score was 0.35. Statistical analysis showed that the calcaneus-fifth metatarsal angle on the anteroposterior view, tibial-calcaniano profile and the horizontal-calcaneus profile also showed when subjected to the comparison test similarity, with p values> 0.05. Other angles did not show statistical similarity when compared with the foot control (p <0.01). All angles were within the normal range when compared to literature data. There was no significant correlation between radiographic results and parameter based on Pirani score.

Conclusion: Radiography is not an appropriate method to evaluate the effectiveness of the results of the Ponseti method in cases of unilateral idiopathic congenital clubfeet and may be indicated for after infancy or in treatments of neglected cases. There was no significant correlation between radiographic findings and clinical parameters used to assess correction.