Nogueira Monica Paschoal, Pereira Julio Cesar Rodrigues, Duarte Paulo Schiavom, Lourenço Alexandre, Tedesco Ana Paula, Ferreira Laura Alves, Forlin Edilson, Volpi Reinaldo, Violante Francisco, Brandão Gilberto, Novaes Eduardo, Zabeu José Luis Amin, Kim Jung Ho, Aguiar Carlos, Merlotti Maria Henriqueta Renno
Faculdade de Saúde Publica - USP, São Paulo, Brazil.
Iowa Orthop J. 2011;31:43-8.
After hearing about the reproducible and excellent results of the Ponseti method for clubfoot treatment, a group of Brazilian orthopaedic surgeons organized and participated in a standardized national program to teach the Ponseti technique in 21 different cities across Brazil.
A total of 21 Ponseti symposiums were organized in a standard fashion from January, 2007 to December, 2008. They consisted of a two-day program with lectures, hands-on cast application, and discussion of local clinical cases presented by orthopaedic surgeons. Thirteen Brazilian orthopaedic surgeons, who had been trained by the University of Iowa or centers recognized by them, taught the method. Financial support for travel was provided by an English charity: La Vida (Vital Investment for Developing Aid in Latin America). The physicians who attended the symposiums answered questionnaires before and after the training.
About 7% of the 8000 orthopaedic surgeons in Brazil (556 orthopaedic surgeons) were trained. These orthopaedic surgeons stated that they had treated about 4905 babies in the previous year via other methods, including extensive surgery. Seventeen percent of the surgeons did not know about the Ponseti technique at the start of the symposium. Eighty-eight percent reported they felt able to treat children with the Ponseti technique after the symposium. Ninety-four percent of respondents reported that the symposium changed their way of treating clubfoot
These Ponseti symposiums brought about an exchange of medical information and empowered the participants. This program is a good educational tool which can be used in eradicating neglected clubfoot in Brazil.
在听闻庞塞蒂方法治疗马蹄内翻足具有可重复性且效果极佳后，一群巴西骨科医生组织并参与了一项标准化的全国性项目，在巴西21个不同城市传授庞塞蒂技术。
从2007年1月至2008年12月，以标准方式共组织了21场庞塞蒂研讨会。这些研讨会为期两天，包括讲座、现场石膏应用演示以及对骨科医生所展示的当地临床病例的讨论。13名曾在爱荷华大学或其认可的中心接受培训的巴西骨科医生教授该方法。差旅的资金支持由一家英国慈善机构“生命（拉丁美洲发展援助的重要投资）”提供。参加研讨会的医生在培训前后回答了问卷。
巴西8000名骨科医生中约7%（556名骨科医生）接受了培训。这些骨科医生表示，他们在前一年通过包括广泛手术在内的其他方法治疗了约4905名婴儿。17%的外科医生在研讨会开始时并不了解庞塞蒂技术。88%的医生报告称，研讨会后他们觉得自己能够用庞塞蒂技术治疗儿童。94%的受访者表示，研讨会改变了他们治疗马蹄内翻足的方式。
这些庞塞蒂研讨会带来了医学信息的交流并增强了参与者的能力。该项目是一个很好的教育工具，可用于在巴西消除被忽视的马蹄内翻足问题。
