Treatment of congenital clubfoot using Ponseti method
Treatment of congenital clubfoot using Ponseti method
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DOI：
10.1016/j.rboe.2015.06.020
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发表时间：
2016-06-01
影响因子：
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通讯作者：
Carrenho, Leonardo
中科院分区：
文献类型：
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作者：
Chueire, Alceu José Fornari Gomes;Carvalho Filho, Guaracy;Carrenho, Leonardo
目的：方法：对26例先天性马蹄内翻足患者（39足）采用Ponseti方法进行治疗，并进行平均随访4.6年。治疗开始时的平均年龄为5.65个月。跟腱切开术后的平均随访时间为4.6年。排除继发性马蹄内翻足患者。流行病学数据，放射学测量的风筝角和满意度调查问卷和Laaveg questionnaire. Results的数据进行了分析：在治疗的26例患者中，一个复发的畸形，并返回到开始的治疗。问卷调查和体格检查的平均得分为89.76分，该结果被认为是良好的。99%的患者回答说他们的脚从来没有受伤或只在剧烈活动时受伤; 88%的人说他们的脚没有限制他们的活动; 96%的人说他们对治疗结果非常满意或满意。前后位平均Kite角为28.14°，侧位平均Kite角为26.11°.结论：Ponseti法治疗先天性马蹄内翻足疗效好，软组织损伤少，证实了该方法的有效性和可重复性.
OBJECTIVE: To quantitatively and qualitatively analyze the results from treatment of congenital clubfoot with a mean follow-up of 4.6 years.METHODS: 26 patients who underwent treatment by means of the Ponseti method were analyzed (total of 39 feet). The mean age at the start of the treatment was 5.65 months. The mean length of the follow-up subsequent to tenotomy of the Achilles tendon was 4.6 years. Patients with secondary clubfoot were excluded. Epidemiological data, radiographic measurements on the Kite angle and data from a satisfaction questionnaire and the Laaveg questionnaire were analyzed.RESULTS: Among the 26 patients treated, one presented recurrence of the deformity and had to return to the beginning of the treatment. The mean score from the questionnaire and physical examination was 89.76 points, and this result was considered good. 99% of the patients responded that their feet never hurt or hurt only upon great activity; 88% said that their feet did not limit their activities; and 96% said that they were very satisfied or satisfied with the results from the treatment. The mean Kite angle in anteroposterior view was 28.14° and it was 26.11° in lateral view.CONCLUSION: Treatment for idiopathic congenital clubfoot by means of the Ponseti method brings better results together with less soft-tissue injury, thus confirming the effectiveness and good reproducibility of this method.