Unilateral versus bilateral clubfoot: an analysis of severity and correlation

Kelly Gray; Elizabeth Barnes; Paul Gibbons; David Little; Joshua Burns

doi:10.1097/BPB.0000000000000064

Unilateral versus bilateral clubfoot: an analysis of severity and correlation

Kelly Gray^*, Elizabeth Barnes, Paul Gibbons, David Little, Joshua Burns

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

22 Citations (Scopus)

Abstract

This study compares the severity of unilateral and bilateral clubfoot, and the correlation between right and left feet of bilateral cases. Sixty-six unilateral and 75 bilateral clubfoot patients were assessed for severity using the Pirani score at an average age of 12.9 days (SD 9 days). In bilateral cases, the severity of right and left feet was highly correlated (r=0.68). The odds of being very severe were 2.6 (95% confidence interval 1.3-5.1) times higher in bilateral cases (P=0.007). Bilateral and unilateral clubfeet present with differing severity. Right and left feet from bilateral cases are highly correlated. Researchers need to address these issues during study design and analysis.

Original language	English
Pages (from-to)	397-399
Number of pages	3
Journal	Journal of Pediatric Orthopaedics Part B
Volume	23
Issue number	5
DOIs	https://doi.org/10.1097/BPB.0000000000000064
Publication status	Published - Sept 2014
Externally published	Yes

Keywords

Bilateral clubfoot
Correlation
Idiopathic clubfoot
Pirani clubfoot severity score
Unilateral clubfoot

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10.1097/BPB.0000000000000064

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abstract = "This study compares the severity of unilateral and bilateral clubfoot, and the correlation between right and left feet of bilateral cases. Sixty-six unilateral and 75 bilateral clubfoot patients were assessed for severity using the Pirani score at an average age of 12.9 days (SD 9 days). In bilateral cases, the severity of right and left feet was highly correlated (r=0.68). The odds of being very severe were 2.6 (95% confidence interval 1.3-5.1) times higher in bilateral cases (P=0.007). Bilateral and unilateral clubfeet present with differing severity. Right and left feet from bilateral cases are highly correlated. Researchers need to address these issues during study design and analysis.",

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Unilateral versus bilateral clubfoot: an analysis of severity and correlation

Abstract

Keywords

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