Abbas Mazhar, Qureshi Owais A, Jeelani Lateef Z, Azam Qamar, Khan Abdul Q, Sabir Aamir B
Department of Orthopaedic Surgery, J.N. Medical College, UP, India.
J Foot Ankle Surg. 2008 Nov-Dec;47(6):541-5. doi: 10.1053/j.jfas.2008.07.002. Epub 2008 Sep 27.
The purpose of this study was to evaluate the early results of treatment of idiopathic congenital talipes equinovarus (CTEV) by the Ponseti method and compare the results with those of other manipulation techniques and surgical treatment reported in the literature. A total of 100 patients with 156 clubfeet (80 males, 20 females), were treated for idiopathic CTEV by the Ponseti method. The average age at presentation was 4.5 months. Scoring of each foot was done according to the Pirani score. Photographs showing the deformity and podograms were taken to have an objective record against which the results were compared. The mean total Pirani score at the start of treatment was 4.26 and mean foot print angle (FPA) was 14.2 degrees. Post correction, there was a significant difference (P < .001, z = 18.638) in the mean FPA. There was also a statistically significant difference between the pre- and postcorrection Pirani scores (P < .001, z = 55.427). In 95% of the patients correction of the deformity was achieved. The Ponseti technique is based on sound understanding of the pathoanatomy of clubfoot. The good results obtained by the Ponseti technique show that posteromedial soft tissue release may no longer be required for most cases of idiopathic CTEV.
本研究的目的是评估采用庞塞蒂方法治疗特发性先天性马蹄内翻足（CTEV）的早期效果，并将结果与文献中报道的其他手法治疗技术及手术治疗的结果进行比较。共有100例患者（156只畸形足，其中男性80例，女性20例）采用庞塞蒂方法治疗特发性CTEV。就诊时的平均年龄为4.5个月。根据皮拉尼评分对每只脚进行评分。拍摄显示畸形的照片和足印图，以便有一个客观记录用于结果比较。治疗开始时皮拉尼总分的平均值为4.26，平均足印角（FPA）为14.2度。矫正后，平均FPA有显著差异（P <.001，z = 18.638）。矫正前后的皮拉尼评分也有统计学显著差异（P <.001，z = 55.427）。95%的患者畸形得到矫正。庞塞蒂技术基于对马蹄内翻足病理解剖的充分认识。庞塞蒂技术取得的良好结果表明，大多数特发性CTEV病例可能不再需要后内侧软组织松解。
