Jawadi Ayman H
Department of Surgery, King Abdulaziz Medical City, PO Box 286681, Riyadh 11323, Kingdom of Saudi Arabia.
Saudi Med J. 2010 Jan;31(1):49-52.
To assess the effectiveness of the Ponseti technique in the treatment of clubfoot in Saudi children.
The data of 175 patients (235 feet), who presented with clubfeet from September 2002 to June 2008 and who were treated with the Ponseti technique at King Abdulaziz Medical City in Riyadh, Kingdom of Saudi Arabia were collected and studied retrospectively. The Pirani score for clubfoot evaluation was used in this study.
Age ranged from one week to 48 weeks, with an average age of 6.5 weeks. The average follow up was 37 months (range one year to 6 years and 7 months). The average time to obtain correction was 5.3 weeks (range 4-10 weeks). Six patients (8 feet) (3.4%) were not corrected with initial casting and required early surgery. Full correction was obtained in 169 patients (227 feet) (96.6%). Tenotomies were performed in all but one patient (2 feet) (0.9%). Thirty-four patients (48 feet) (21.1%) relapsed. One hundred and seventy-nine feet (78.9%) required no further treatment, and only 4 feet (1.8%) required a more extensive posterior-medial release. Minor complications were noted in 14 patients (18 feet) (7.9%).
The Ponseti technique is a safe and effective conservative treatment of clubfoot that decreases the number of surgical interventions needed for the correction of the deformation in our Saudi patients. It is an easy method to understand and to apply by most orthopedic surgeons.
评估庞塞蒂技术治疗沙特儿童马蹄内翻足的有效性。
回顾性收集并研究2002年9月至2008年6月期间在沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城接受庞塞蒂技术治疗的175例患者（235只脚）的数据。本研究采用皮拉尼评分评估马蹄内翻足。
年龄范围为1周至48周，平均年龄为6.5周。平均随访时间为37个月（范围为1年至6年7个月）。获得矫正的平均时间为5.3周（范围为4 - 10周）。6例患者（8只脚）（3.4%）初次石膏固定未矫正，需要早期手术。169例患者（227只脚）（96.6%）获得完全矫正。除1例患者（2只脚）（0.9%）外，所有患者均进行了跟腱切断术。34例患者（48只脚）（21.1%）复发。179只脚（78.9%）无需进一步治疗，仅4只脚（1.8%）需要更广泛的后内侧松解术。14例患者（18只脚）（7.9%）出现轻微并发症。
庞塞蒂技术是一种安全有效的马蹄内翻足保守治疗方法，可减少沙特患者矫正畸形所需的手术干预次数。这是一种大多数骨科医生易于理解和应用的方法。
