巴布亚新几内亚的先天性马蹄内翻足：一种棘手但仍有可能得到控制的情况。
Congenital talipes equinovarus in Papua New Guinea: a difficult yet potentially manageable situation.
作者信息
Culverwell A D, Tapping C R
机构信息
University of Leeds, Leeds, UK.
出版信息
Int Orthop. 2009 Apr;33(2):521-6. doi: 10.1007/s00264-007-0511-x. Epub 2008 Jan 15.
Abstract
Reports in the literature have suggested a high incidence of congenital deformities, including congenital talipes equinovarus (CTEV), in many Pacific Islands. This study performed a retrospective analysis of cases of CTEV in an isolated region of Papua New Guinea over a 2-year period. Data was collected on the incidence of CTEV, together with an analysis of initial treatment and outcome. The incidence of CTEV was 2.7 per 1,000 live births per year. A peak incidence of CTEV births in September suggested that maternal anaemia secondary to malaria was a significant risk factor. Good functional outcome was confirmed in only 20% of cases following initial treatment. The authors suggest the Ponseti method as a realistic option for treating CTEV in this region and that it could be instigated with minimal resources and training.
摘要
文献报道表明，许多太平洋岛屿上先天性畸形的发病率很高，包括先天性马蹄内翻足（CTEV）。本研究对巴布亚新几内亚一个偏远地区两年内的CTEV病例进行了回顾性分析。收集了CTEV的发病率数据，并对初始治疗和结果进行了分析。CTEV的发病率为每年每1000例活产中有2.7例。9月CTEV出生的发病率峰值表明，疟疾继发的产妇贫血是一个重要的风险因素。初始治疗后仅有20%的病例获得了良好的功能结果。作者认为庞塞蒂方法是该地区治疗CTEV的一个现实选择，并且可以在资源和培训最少的情况下实施。
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