No statistical difference was found between unilateral and bilateral cases.ĬONCLUSION: Children treated for idiopathic clubfoot (unilateral or bilateral) can expect no delays in sitting or crawling. In our study, 86% of children achieved independent walking within 18 months. Independent walking, however, was achieved at a mean of 15.3 (SD ± 2.3) months which is statistically significantly different to the 50th centile for unaffected children in the WHO study (p<0.05). RESULTS: Results show that patients in our study sat at a mean of 5.8 (standard deviation ± 1.3) months and crawled at a mean of 8.3 (SD ± 1.7) months, both equal to the WHO 50th centiles for unaffected children. We compared the results of our patients to the 50th percentile in that study.
The World Health Organisation (WHO) published the normal range for achievement of these milestones in six regions across the world. All patients were ambulating independently at review and ages at attainment of three motor milestones were recorded (sitting, crawling and walking independently). METHODS: A retrospective review of gross motor milestones was performed in patients treated at a South African clubfoot clinic. A study in New York reviewed attainment of eight gross motor milestones in these children and found that independent ambulation was delayed on average by 2 months compared to unaffected children. INTRODUCTION: The Ponseti method for the treatment of idiopathic club foot is the gold standard of treatment in South Africa. IIIMBBCh, FCS (Orth) SA, MMed (Orth) Head: Paediatric Orthopaedics, Division of Orthopaedic Surgery, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg IIMBBCh, FCS(Orth)SA Orthopaedic consultant, Division of Orthopaedic Surgery, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg IBSc, MBBCh, FCS(Orth)SA Orthopaedic consultant, Division of Orthopaedic Surgery, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg
Do Ponseti plasters delay gross motor milestones of South African children treated for idiopathic clubfeet?
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