Pediatric Physical Therapy

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Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e31823dcd25
Research Articles

Conservative Treatment of Clubfoot Using Modified Copenhagen Method

Utrilla-Rodríguez, Elia María PT; Martínez-Cañavete, María Jesús Guerrero PT; Casares, Juan Andrés Conejero MD

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Abstract

Purpose: To evaluate the efficacy of a modified Copenhagen physical therapy method in reducing surgery rates for congenital idiopathic clubfoot.

Methods: This research is a retrospective descriptive study of 82 patients (123 clubfeet). All patients were younger than 2 months at the beginning of the treatment and were initially evaluated to classify clubfoot severity using the Harrold and Walker scale. The study period included the years from 1980 to 2003, with an average monitoring of 14.5 years (range, 3–26 years).

Results: After 3 years of treatment, 55% of the involved feet did not need surgery, 2% needed percutaneous tenotomy of the Achilles tendon, and 43% had posterior release. At the end of monitoring, 34% feet did not need surgery, 2% had percutaneous tenotomy of the Achilles tendon, and 64% required posterior releases.

Conclusion: The Copenhagen method may reduce the necessity of surgical intervention for idiopathic clubfoot.

© 2012 Lippincott Williams & Wilkins, Inc.

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