Genetic Linkage Study of Idiopathic Talipes Equinovarus (ITEV) (Clubfoot)
ClubfootThe goal of this study is to identify and characterize the genetic loci causing idiopathic talipes equinovarus (clubfoot). The hypothesis is that a few genes account for a substantial fraction of ITEV and that these genes can be identified in defined populations. Towards this goal, in preliminary studies, Dr. Hecht's group has identified two genes, NAT2 and CASP10, which demonstrate evidence for linkage and association to ITEV.
Clubfoot DNA Repository
ClubfootTo build a DNA repository to enable participation in ongoing and future Clubfoot genetic linkage studies.
Pedobarographic Assessments of Clubfoot Treated Patients
ClubfootThe purpose of this study is to determine the utility of pedobarographs in evaluating clubfoot post-treatment.
Gait Analysis in Ponseti Clubfoot
ClubfootPatients with clubfoot treated with the Ponseti method from a prospective database are evaluated using gait analysis including a foot model and a disease specific instrument score and compared to a group of healthy children.
Outcomes of Compliance With Brace Wear in Clubfoot
ClubfootIt has been shown that compliance with brace wear can significantly improve the treatment outcome of idiopathic clubfoot deformities. Noncompliance rates have been estimated to be around 30-41% with initial orthosis wear after successful treatment with serial castings. These studies have depended on family logs and not objective data. With the development of a monitoring device, this study hopes to examine: (1) actual patient compliance, (2) comparisons of actual wear time and assumed wear time and (3) the relationship of patient wear with clinical outcomes. Hypothesis: Actual patient compliance in foot abduction orthoses (FAO) wear is less than self-reported compliance and noncompliance is correlated to future surgeries.
Sucrose Analgesia in Infants Undergoing Casting for Club Foot
ClubfootBabies with congenital clubfeet are treated by the Ponseti casting method. The procedure may cause discomfort to the patient. This study will examine the use of 5 CC Sucrose solution as a comforting agent for the babies.
Comparison of Ponseti Method Versus Older Treatments in Talipes Equinovarus Through Gait Analysis...
ClubfootThere are many different treatments of congenital talipes equinovarus. At our institution, the investigators use the Ponseti method with manipulation and immobilization of the foot. In this study the investigators should like to demonstrate the better outcome in clinical results and in gait analysis of patients treated with the Ponseti method, compared to the 'older' methods of taping and posteromedial release.
Economic Evaluation of Clubfoot Treatment: One Centre's Experience
ClubfootPurpose: The purpose of the study is to complete a cost analysis of the different methods used for clubfoot treatment. Objectives: Short-term objective: To explore the experience of British Columbia Children's Hospital (BCCH) with costs and outcomes related to the various forms of clubfoot management since 1984 to present. Long-term objective: To use the information gathered in this project and apply it to future studies in the clubfoot research program and to do a complete cost-benefit analysis. Hypothesis: The hypothesis of the study is that the BCCH clubfoot treatment program has better outcomes in terms of reduced financial costs than the traditional surgical management.
Pronostic Factors of Long Term Outcome in Patients With Clubfoot Treated by the Ponseti Method
ClubfootWe aim at finding prognostic factors of long term (after growth) function outcome in patient with clubfoot treated by ponseti method, based on a very complete prospective recording of treatment variables and outcome
Rate Of Residual Clubfoot Deformity With Correlation To Absence Of Peroneus Tertius Muscle
ClubfootRate Of Residual Clubfoot Deformity With Correlation To Absence Of Peroneus Tertius Muscle , A Prospective Study.