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儿科医生应该了解的先天性马蹄内翻足知识。

What a paediatrician should know about congenital clubfoot.

机构信息

Institute for Maternal and Child Health IRCCS Burlo Garofolo, Via dell'Istria 65/1, Trieste, Italy.

University of Trieste, Piazzale Europa 1, Trieste, Italy.

出版信息

Ital J Pediatr. 2020 Jun 4;46(1):78. doi: 10.1186/s13052-020-00842-3.

DOI:10.1186/s13052-020-00842-3
PMID:32498693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7271518/
Abstract

Clubfoot is the most frequent congenital malformation of the foot, affecting more than 1-2 subjects per 1.000 newborns. Without appropriate treatment, a child with congenital clubfoot will never be able to walk physiologically with a dramatic impact on the quality of life. In the last decades, different corrective solutions have been proposed, and there is rising scientific evidence that the Ponseti non-invasive method is safe and effective in the treatment of the clubfoot. So, what should a general paediatrician know about this condition and what should he concretely do in the suspect of a congenital clubfoot?

摘要

马蹄足是最常见的足部先天性畸形,每 1000 名新生儿中就有 1 到 2 名患病。如果不进行适当的治疗,患有先天性马蹄足的孩子将永远无法正常行走,这将对其生活质量产生巨大影响。在过去的几十年中,已经提出了不同的矫正解决方案,越来越多的科学证据表明,潘塞蒂非侵入性方法在治疗马蹄足方面是安全有效的。那么,普通儿科医生应该了解这种情况,在怀疑患有先天性马蹄足时应该具体做些什么呢?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/b1e8596a4f4e/13052_2020_842_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/5fa350a50c1f/13052_2020_842_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/a8cb2dd8a031/13052_2020_842_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/9a4c5a8ec9ed/13052_2020_842_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/b1e8596a4f4e/13052_2020_842_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/5fa350a50c1f/13052_2020_842_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/a8cb2dd8a031/13052_2020_842_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/9a4c5a8ec9ed/13052_2020_842_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00c2/7271518/b1e8596a4f4e/13052_2020_842_Fig4_HTML.jpg

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本文引用的文献

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Challenging clubfeet: the arthrogrypotic clubfoot and the complex clubfoot.具有挑战性的马蹄内翻足:先天性多发性关节挛缩症性马蹄内翻足和复杂性马蹄内翻足
J Child Orthop. 2019 Jun 1;13(3):271-281. doi: 10.1302/1863-2548.13.190072.
2
The etiology of idiopathic congenital talipes equinovarus: a systematic review.特发性先天性马蹄内翻足的病因:一项系统评价
J Orthop Surg Res. 2018 Aug 22;13(1):206. doi: 10.1186/s13018-018-0913-z.
3
Prenatal Diagnosis of Clubfoot: A Review of Current Available Methodology.马蹄内翻足的产前诊断:现有方法综述
Folia Med (Plovdiv). 2017 Sep 1;59(3):247-253. doi: 10.1515/folmed-2017-0030.
4
Genetics of clubfoot; recent progress and future perspectives.马蹄内翻足的遗传学:近期进展与未来展望
Eur J Med Genet. 2018 Feb;61(2):107-113. doi: 10.1016/j.ejmg.2017.09.006. Epub 2017 Sep 14.
5
Ponseti method in the management of clubfoot under 2 years of age: A systematic review.2岁以下马蹄内翻足治疗中的庞塞蒂方法:一项系统评价。
PLoS One. 2017 Jun 20;12(6):e0178299. doi: 10.1371/journal.pone.0178299. eCollection 2017.
6
Guideline on the diagnosis and treatment of primary idiopathic clubfoot.原发性特发性马蹄内翻足诊断与治疗指南
Acta Orthop. 2017 Jun;88(3):305-309. doi: 10.1080/17453674.2017.1294416. Epub 2017 Mar 7.
7
Current conservative management and classification of club foot: A review.先天性马蹄内翻足的当前保守治疗与分类:综述
J Pediatr Rehabil Med. 2016 Nov 30;9(4):257-264. doi: 10.3233/PRM-160394.
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Foot Ankle Clin. 2015 Dec;20(4):555-62. doi: 10.1016/j.fcl.2015.08.002. Epub 2015 Oct 23.
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Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method.采用庞塞蒂方法显著降低了马蹄内翻足广泛矫正手术的发生率。
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