The evaluation of vascular flow in clubfoot: a resistive index and peak systolic velocity study

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dc.contributor.authorBozkurt, Celal
dc.contributor.authorBekin Sarikaya, Pelin Zeynep
dc.contributor.authorKarayol, Sunay Sibel
dc.contributor.authorSarikaya, Baran
dc.contributor.authorSipahioglu, Serkan
dc.contributor.authorKaptan, Ahmet Yigit
dc.contributor.authorOrhan, Ozlem
dc.date.accessioned2025-01-21T16:45:30Z
dc.date.available2025-01-21T16:45:30Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractResistive index (RI) and peak systolic velocity (PSV) are important Color doppler ultrasonography (CDU) parameters indicating the microcirculation and flow velocity in tissues. We aim to determine the changes in vascular flow characteristics in clubfoot after Ponseti treatment. There were three groups: the clubfoot group, the healthy group (the unaffected feet with unilateral deformities) and the control group. The Pirani severity scoring and CDU examinations of the foot were performed at initial admission and the 6th-month follow-up after Ponseti treatment. A total of 34 feet of 24 patients were included in the study. The mean age at initial treatment was 20.9 +/- 22.5 days. The RI and PSV values of the clubfeet and the healthy group were similar. Resistive index values were significantly lower, and PSV values were significantly higher in the control group. After Ponseti treatment, only RI of the dorsalis pedis artery decreased, but PSV increased for all of the arteries. Recurrence of the deformity deteriorates the improvement in vascular development. Resistive index and PSV values were not related to the initial severity of the deformity. The RI values were higher, and PSV values were lower in clubfoot patients compared with the normal control group. Vascular pathology is a component of clubfoot, and treatment success improves vascular development. The improvement of microcirculation and blood flow velocity together was detected only in the dorsalis pedis artery. The effect of vascular flow change on prognosis was not detected.
dc.identifier.doi10.1097/BPB.0000000000001063
dc.identifier.endpage43
dc.identifier.issn1060-152X
dc.identifier.issn1473-5865
dc.identifier.issue1
dc.identifier.pmid38047574
dc.identifier.scopus2-s2.0-85178650731
dc.identifier.scopusqualityQ3
dc.identifier.startpage37
dc.identifier.urihttps://doi.org/10.1097/BPB.0000000000001063
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25663
dc.identifier.volume33
dc.identifier.wosWOS:001114502700002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal of Pediatric Orthopaedics-Part B
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectclubfoot; color doppler ultrasonography; peak systolic velocity; resistive index
dc.titleThe evaluation of vascular flow in clubfoot: a resistive index and peak systolic velocity study
dc.typeArticle

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