Adegbehingbe Olayinka O, Adetiloye Adeoye J, Adewole Ladipo, Ajodo Dennis U, Bello Nosirudeen, Esan Oluwadare, Hoover Alex C, Ior James, Lasebikan Omolade, Ojo Owolabi, Olasinde Anthony, Songden David, Morcuende Jose A
Olayinka O Adegbehingbe, Oluwadare Esan, Department of Orthopedic Surgery and Traumatology, Obafemi Awolowo University, Ile-Ife, Nigeria.
World J Orthop. 2017 Aug 18;8(8):624-630. doi: 10.5312/wjo.v8.i8.624.
To evaluate the effectiveness of the Ponseti method for initial correction of neglected clubfoot cases in multiple centers throughout Nigeria.
Patient charts were reviewed through the International Clubfoot Registry for 12 different Ponseti clubfoot treatment centers and 328 clubfeet (225 patients) met inclusion criteria. All patients were treated by the method described by Ponseti including manipulation and casting with percutaneous Achilles tenotomy as needed.
A painless plantigrade foot was obtained in 255 feet (78%) without the need for extensive soft tissue release and/or bony procedures.
We conclude that the Ponseti method is a safe, effective and low-cost treatment for initial correction of neglected idiopathic clubfoot presenting after walking age. Long-term follow-up will be required to assess outcomes.
评估庞塞蒂方法在尼日利亚多个中心对 neglected clubfoot 病例进行初始矫正的有效性。
通过国际马蹄内翻足登记处对12个不同的庞塞蒂马蹄内翻足治疗中心的患者病历进行审查，328例马蹄内翻足（225例患者）符合纳入标准。所有患者均采用庞塞蒂描述的方法进行治疗，包括手法矫正和石膏固定，并根据需要进行经皮跟腱切断术。
255例（78%）足获得无痛的足底着地，无需广泛的软组织松解和/或骨手术。
我们得出结论，庞塞蒂方法是一种安全、有效且低成本的治疗方法，用于矫正行走年龄后出现的 neglected 特发性马蹄内翻足。需要进行长期随访以评估治疗效果。
