Parsa Ali, Moghadam Mohammad Hallaj, Jamshidi Mohammad H Taraz
Ali Parsa MD, Mohammad Hallaj Moghadam MD, Mohammad H Taraz Jamshidi MD, Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Arch Bone Jt Surg. 2014 Mar;2(1):7-10. Epub 2014 Mar 15.
The Ponseti method is a safe and effective treatment for congenital clubfoot, and radically decreases the need for extensive corrective surgery. But a group of patients will still present with under corrected residual equinovarus deformities despite the proper use of the Ponseti method. About 25% of operated clubfeet will develop recurrence or show a marked residual deformity (recurrent clubfoot); however, in the recent literature, the failure rate of the Ponseti method, defined by the need for corrective surgery, ranges from 3% to 5%. Deformities encountered in patients with residual clubfeet comprise of various degrees of equinus, varus, adduction, supination, cavus, and toe deformity. Joint flexibility or stiffness, tarsal dysmorphism, articular incongruence, and progressive degrees of degeneration may be also present. We try to emphasize the current solutions for these deformities.
庞塞蒂方法是治疗先天性马蹄内翻足的一种安全有效的方法，能从根本上减少广泛矫正手术的需求。但是，尽管正确使用了庞塞蒂方法，仍有一组患者会出现矫正不足的残留马蹄内翻畸形。约25%接受手术的马蹄内翻足会复发或出现明显的残留畸形（复发性马蹄内翻足）；然而，在最近的文献中，以需要进行矫正手术来定义的庞塞蒂方法的失败率在3%至5%之间。残留马蹄内翻足患者所遇到的畸形包括不同程度的马蹄足、内翻、内收、旋后、高弓足和脚趾畸形。还可能存在关节灵活性或僵硬、跗骨形态异常、关节不协调以及不同程度的退变。我们试图强调针对这些畸形的当前解决方案。
