a University of Twente , Department of Biomechanical Engineering , Enschede.
b University of Groningen, University Medical Center Groningen , Department of Rehabilitation Medicine , Groningen.
Acta Orthop. 2018 Oct;89(5):565-569. doi: 10.1080/17453674.2018.1493046. Epub 2018 Jul 9.
Background and purpose - Idiopathic clubfeet are commonly treated with serial manipulation and casting, known as the Ponseti method. The use of Plaster of Paris as casting material causes both exothermic and endothermic reactions. The resulting temperature changes can create discomfort for patients. Patients and methods - In 10 patients, we used a digital thermometer with a data logger to measure below-cast temperatures to create a thermal profile of the treatment process. Results - After the anticipated temperature peak, a surprisingly large dip was observed (T = 26 °C) that lasted 12 hours. Interpretation - Evaporation of excess water from a cast might be a cause for discomfort for clubfoot patients and subsequently, their caregivers.
背景与目的-特发性马蹄足通常采用序贯手法复位和石膏固定治疗，即潘塞提（Ponseti）方法。传统的石膏固定材料（熟石膏）在与皮肤接触时会发生放热和吸热反应，由此导致的温度变化可能会引起患者不适。
患者和方法-我们在 10 例患者中使用带数据记录仪的数字体温计测量了石膏下的温度，以绘制治疗过程中的温度曲线。
结果-在预计的温度峰值之后，我们观察到一个出人意料的大幅下降（T = 26°C），并持续了 12 小时。
解释-石膏中多余水分的蒸发可能是导致接受治疗的马蹄足患者及其照顾者不适的原因。
