特发性马蹄足采用潘塞提方法治疗。跟腱切断术的临床和超声评估。221 例马蹄足的回顾性研究。

Idiopathic club foot treated with the Ponseti method. Clinical and sonographic evaluation of Achilles tendon tenotomy. A review of 221 club feet.

机构信息

Service de chirurgie pédiatrique, hôpital Sud, boulevard de Bulgarie, 35200 Rennes, France.

出版信息

Orthop Traumatol Surg Res. 2012 Jun;98(4 Suppl):S73-6. doi: 10.1016/j.otsr.2012.03.001. Epub 2012 May 15.

DOI:10.1016/j.otsr.2012.03.001

Abstract

The Ponseti method applied to treating idiopathic club foot consists in placing successive corrective casts, possibly an Achilles tendon tenotomy, then derotation braces, a method that has proven its efficacy. This study compared 221 cases of club foot treated with this method between 2002 and 2007 divided into two groups, based on whether or not Achilles tendon tenotomy was performed. Assessment was both clinical and sonographic. We observed clear improvement of the results in the group that underwent Achilles tendon tenotomy and a significant difference in the rate of secondary surgery. The sonographic evaluation also showed improvement of the morphological results. We now systematically propose Achilles tendon tenotomy however severe club foot may be.

摘要

潘塞蒂（Ponseti）方法应用于治疗特发性马蹄足，包括连续应用矫正石膏，可能需要行跟腱切断术，然后佩戴足部旋转矫形支具，该方法已被证明是有效的。本研究比较了 2002 年至 2007 年间采用该方法治疗的 221 例马蹄足病例，根据是否行跟腱切断术将其分为两组。评估包括临床评估和超声评估。我们观察到行跟腱切断术的组的结果明显改善，且二次手术的发生率有显著差异。超声评估也显示形态学结果的改善。因此，我们现在系统地建议行跟腱切断术，无论马蹄足有多严重。