JBJS | Continuous Passive Motion After Surgery in Infants with Clubfoot Led to Greater Short-Term but Not Long-Term Improvement Relative to Standard Immobilization

The Journal of Bone & Joint Surgery, Volume 88, Issue 5

Evidence-Based Orthopaedics | May 01, 2006

Continuous Passive Motion After Surgery in Infants with Clubfoot Led to Greater Short-Term but Not Long-Term Improvement Relative to Standard Immobilization

The Journal of Bone & Joint Surgery. 2006; 88:1167-1167 doi:10.2106/JBJS.8805.ebo1

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Question: For infants who have had surgical correction of clubfoot, is continuous passive motion (CPM) more effective than standard immobilization in a cast?Design: Randomized allocation concealed*, blinded (outcome assessor), controlled trial with 48-month follow-up.*Information provided by author.Setting: A university clinic in Heidelberg, Germany.Patients: 38 infants (71% boys; mean age, 8 months; 50 affected feet) who had Dimeglio grade-3 deformities treated with manipulation and immobilization in a cast for 6 months (which did not correct the deformity). Follow-up was 97% (37 infants, 37 feet).

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immobilization ; motion therapy, continuous passive ; congenital clubfoot ; casts, surgical

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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