Please login to view this media
- Talk
- 21/09/2021
- UK
Dynamic Supination in Congenital Clubfoot: A Delphi Panel Approach to Standardizing Definitions and Indications for Treatment
Description
The VTT document presents a recorded discussion led by Deborah Eastwood around the topic of dynamic supination in children with clubfoot. The talk involves an exploration of consensus statements created by a pediatric foot and ankle research group composed of 15 experts from various countries. Eastwood shares insights into how these experts, originally part of what she thought was an interest group, were tasked with defining dynamic supination and its treatment options. Throughout the presentation, she highlights the lack of a unified definition and the significant variation in the reported incidence of dynamic supination, which ranges from 7% to 56%.
The discussion covers clinical parameters, surgical techniques, and post-operative care, emphasizing the importance of identifying when a deformity requires treatment based on dynamic supination. Some key points included their agreement on defining supination, diagnostic criteria, and treatment approaches involving above-knee casting and surgical interventions like tendon transfers.
Despite reaching some consensus, the group revealed ongoing debate over various aspects, including the relevance of hindfoot varus to dynamic supination diagnosis. There is recognition of the need for further research and a call for improved methodologies such as gait analysis to enhance understanding of dynamic supination in clinical settings. The talk wraps up with audience engagement, sharing perspectives on the definitions and approaches discussed.