Podium (General) 15

Determining improvement in dorsiflexion among clubfoot patients in maintenance phase using lateral tibiocalcaneal angle

Joshua Morales, MD
Victor Illescas, MD, FPOA

Objective: This study aims to investigate the presence of any improvement in dorsiflexion angle while patient is in maintenance phase using lateral tibiocalcaneal (LTiC) angle measurements after 1 year post tenotomy which can possibly provide baseline data that can aid future studies in predicting relapse and development of a tailored bracing protocol.

Methodology: A pre and post single arm intervention study was utilized to assess dorsiflexion improvement of 42 patients 2 years old and below in Philippine Orthopedic Center who are in first year of maintenance phase. Patient demographics, laterality of clubfoot, brace compliance, LTiC angle pre and post tenotomy and every 3 months of follow-up for 1 year were documented and were then compared.

Results: A total of 42 patients were included in this study. 18 had unilateral involvement and 24 had bilateral clubfoot. Improvement in dorsiflexion was noted throughout the 12 months period. However, significant improvement was only detected in the first quarter. All patients were compliant to bracing resulting in absence of relapse in 12 months.

Conclusion: Improvement of dorsiflexion in this series is not statistically significant. Using this variable alone is not enough to establish and individualized protocol to clubfoot patients in maintenance phase. Further investigation is recommended.

Commercial funding: N/A

Conflict of interest: N/A

Keyword/s: CTEV, clubfoot, lateral tibiocalcaneal angle; relapse; dorsiflexion;