Department of Orthopaedics and Traumatology, Selahaddin Eyyubi State Hospital, Yenisehir Mahallesi, 21100, Diyarbakir, Turkey.
Department of Orthopaedics and Traumatology, Erzincan University Faculty of Medicine, Basbaglar Mahallesi, 24030, Erzincan, Turkey.
Int Orthop. 2020 Sep;44(9):1833-1840. doi: 10.1007/s00264-020-04529-6. Epub 2020 May 6.
There are not enough studies demonstrating the results of the modified Ponseti method on iatrogenic complex clubfoot that occurs due to errors during the application of the method for treating idiopathic clubfoot. The present study aimed to present the treatment results of the modified method reported by Ponseti for treating feet that became complex solely due to errors during casting.
Patients with the confirmed diagnosis of iatrogenic complex clubfoot were according to initial physicians' report and photographs were included in this retrospective case series study. Patients with congenital atypical feet, incomplete medical records, and accompanying pathologies were excluded from the study. Patients' clinical data and clinical scores were recorded at the initial visit and at the latest follow-up.
There were 21 children (15 boys and 8 girls) with 32 complex clubfeet. Initial correction was achieved in all children, with an average of five serial casts (range 3 to 6 casts). At the last follow-up, ISGCF score of 25 feet (78.1%) was excellent and seven feet (21.9) was good.
According to the results acquired from this study, an iatrogenic complex clubfoot can be successfully treated using the modified Ponseti method.
目前尚缺乏足够的研究能够展示由于在应用潘塞提方法治疗特发性马蹄足时出现的失误而导致的医源性复杂马蹄足的改良潘塞提方法的治疗结果。本研究旨在介绍仅因石膏固定过程中的失误而导致的复杂马蹄足的改良方法的治疗结果。
本回顾性病例系列研究纳入了经初始医生报告和影像学照片确诊为医源性复杂马蹄足的患者。排除了先天性非典型足、病历资料不完整和合并有其他病变的患者。在初次就诊和随访时，记录患者的临床数据和临床评分。
共有 21 名儿童（男 15 例，女 8 例）的 32 只复杂马蹄足纳入研究。所有儿童的初始矫正均成功，平均进行了 5 次连续石膏固定（范围 3 至 6 次）。末次随访时，25 只足（78.1%）的国际马蹄足协会评分（ISGCF）为优秀，7 只足（21.9%）为良好。
根据本研究的结果，医源性复杂马蹄足可以采用改良潘塞提方法成功治疗。
