Nagaraju K Durga, Vidyadhara S, Shetty Ajoy P, Venkatadass K, Rajasekaran S
Department of Orthopaedics and Spine Surgery, Ganga Hospital, Ramnagar, Coimbatore, Tamil Nadu, India.
J Pediatr Orthop B. 2008 Jul;17(4):189-93. doi: 10.1097/BPB.0b013e3282ff3cee.
We report the results of 18 recurrent clubfeet in 13 children after Kite's method of casting treated successfully by Ponseti's technique. The average age was 8.3 months. The average preoperative Pirani's midfoot contracture score was 1.8, hindfoot contracture score was 2.4, and total score was 4.2. All patients had full correction of deformities with plantigrade feet and the scores were reduced to zero at the end of treatment. Three recurrences were found at 6 months follow-up, amounting to 17% failure rate. Two of them necessitated percutaneous tenotomy of the tendoachilles, and one underwent posteromedial soft tissue release with good result at the end of 1 year. Ponseti's method is an effective treatment option in the management of recurrent clubfeet after Kite's method. Although short-term results are promising, larger series with long-term follow-up is warranted.
我们报告了13名儿童中18例复发性马蹄内翻足采用庞塞蒂技术成功治疗的结果，这些马蹄内翻足最初采用了凯特石膏固定法。平均年龄为8.3个月。术前皮拉尼中足挛缩平均评分为1.8，后足挛缩评分为2.4，总分4.2。所有患者畸形均得到完全矫正，足部呈平足，治疗结束时评分降至零。随访6个月时发现3例复发，失败率为17%。其中2例需要经皮跟腱切断术，1例接受了后内侧软组织松解术，1年后效果良好。庞塞蒂方法是治疗凯特方法后复发性马蹄内翻足的有效选择。虽然短期结果令人鼓舞，但仍需要更大样本的长期随访研究。
