Cosma Dan I, Vasilescu Dana E
Department of Paediatric Orthopaedics, University of Medicine and Pharmacy 'Iuliu Haţieganu', Cluj-Napoca, Romania.
J Pediatr Orthop B. 2014 Nov;23(6):512-6. doi: 10.1097/BPB.0000000000000081.
Manipulation and casting according to the Ponseti method are the 'gold standard' for clubfoot treatment, and this method is endorsed by the American Association of Orthopaedic Surgeons. We conducted a retrospective study from January 2004 to December 2012 in our institution. All patients with idiopathic clubfoot were included, and a very strict analysis of the treatment outcomes, relapses and their treatment was carried out. A total of 382 children were included and followed up for a mean period of 6 years. The initial correction rate was 100%. At latest follow-up, the relapse rate was 19.03%, the initial correction being recovered by recasting, second or third percutaneous Achilles tenotomy or anterior tibial tendon lateral transfer. The Ponseti method is safe, efficient in the conservative treatment of clubfoot and decreases the number of surgical interventions, and the very good results are maintained through a 9 years follow-up period.
根据庞塞蒂方法进行的手法矫正和石膏固定是治疗马蹄内翻足的“金标准”，该方法得到了美国骨科医师协会的认可。我们于2004年1月至2012年12月在本机构开展了一项回顾性研究。纳入所有特发性马蹄内翻足患者，并对治疗结果、复发情况及其治疗进行了非常严格的分析。共纳入382名儿童，平均随访6年。初始矫正率为100%。在最近一次随访时，复发率为19.03%，通过再次石膏固定、第二次或第三次经皮跟腱切断术或胫前肌腱外侧移位恢复初始矫正。庞塞蒂方法在马蹄内翻足的保守治疗中安全、有效，减少了手术干预次数，并且在9年的随访期内保持了非常好的效果。
