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Does the Ponseti technique affect the vascular development in patients with congenital talipes equinovarus?

Yildirim, Timura; Bursali, Aysegulb; Tonbul, Muratc; Sakizlioglu, Secil S.a; Camurcu, Yalkina

Journal of Pediatric Orthopaedics B: January 2015 - Volume 24 - Issue 1 - p 6–10
doi: 10.1097/BPB.0000000000000105
FOOT & ANKLE
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In this study, we have evaluated the changes observed in the main arteries of the foot before and after the Ponseti technique. Arterial structures of seven patients were examined using Doppler ultrasound and the parameters studied included the course of the arteries, lumen filling, flow direction, pattern, and velocity. Before the treatment, the side with congenital talipes equinovarus deformity showed decreased blood flow in all arteries, except for the posterior tibial artery. At the second examination, the increase in the flow velocity of both arteries except tibialis anterior arteries was statistically significant. The Ponseti method results in normalization of the arterial structures in extremities with congenital talipes equinovarus.

aBaltalimani Bone and Joint Diseases Education and Research Hospital

bPrivate Practice, Istanbul

cReyap Hospital, Corlu-Tekirdag, Turkey

Correspondence to Timur Yildirim, MD, Baltalimani Bone and Joint Diseases Education and Research Hospital, Rumeli Hisari Cad. No: 62, 34470 Sariyer-Istanbul, Turkey Tel: +90 212 323 70 75; fax: +90 212 323 70 82; e-mail: drtimur@hotmail.com

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