潘塞提方法治疗先天性马蹄内翻足的 5 年结果：一项回顾性研究。

A 5-years results of the Ponseti method in the treatment of congenital clubfoot: a retrospective study.

机构信息

Department of Orthopaedic Surgery, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

Department of Anaesthesia, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

出版信息

Eur J Orthop Surg Traumatol. 2023 Jul;33(5):1781-1787. doi: 10.1007/s00590-022-03353-5. Epub 2022 Aug 13.

DOI:10.1007/s00590-022-03353-5

PMID:35963923

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10275805/

Abstract

BACKGROUND

Clubfoot is a common congenital deformity affecting mobility of children. It leads to pain and disability. The Ponseti treatment method is non-surgical method for the correction of clubfoot. There is variation from country to country in how the result of clubfoot management is measured and reported. This study aimed to assess the 5-years results of the Ponseti method in the treatment of congenital clubfoot which was performed for children aged under 2 years in western Amhara, Ethiopia.

OBJECTIVES

The objective of this study was to assess a 5-years results of the Ponseti method in the treatment of congenital clubfoot among under 2-years old children in Felege Hiwot Referral Hospital, Bahir-Dar, Ethiopia, from 2015 to 2019 G.C.

METHODS

A facility-based retrospective cross-sectional study was conducted. After receiving letter of ethical clearance from the University, IRB board, the data were collected from medical record/charts of patients' who received Ponseti treatment, and the collected data were entered and analyzed with Statistical Package for Social Sciences version 21. The results were presented with texts and tables.

RESULTS

A total of 200 children with 256 congenital clubfeet involved in the study. Among the total study subjects, 143 (71.5%) had unilateral clubfeet. The 5-years results of the Ponseti method in the treatment of congenital clubfoot conducted in 200 children with clubfeet were 187 (93.5%) with 95% (CI 90-99.5). Among the study participants, males were 66.5% (almost two times from females).

CONCLUSIONS AND RECOMMENDATIONS

According to the results from a 5-years data showed that the Ponseti method in the treatment of congenital clubfoot was successful with a success rate of 93.5%. We recommend that children with congenital clubfeet should be managed with Ponseti treatment method timely.

摘要

背景

马蹄足是一种常见的先天性畸形，影响儿童的活动能力。它会导致疼痛和残疾。潘塞蒂治疗方法是非手术矫正马蹄足的方法。不同国家对马蹄足管理结果的测量和报告方式存在差异。本研究旨在评估 2015 年至 2019 年在埃塞俄比亚西部阿玛哈拉的费莱盖·希沃特转诊医院，对 2 岁以下儿童实施潘塞蒂治疗方法治疗先天性马蹄足的 5 年结果。

目的

本研究的目的是评估 2015 年至 2019 年在埃塞俄比亚巴希尔-达尔的费莱盖·希沃特转诊医院，对 2 岁以下儿童实施潘塞蒂治疗方法治疗先天性马蹄足的 5 年结果。

方法

本研究采用基于设施的回顾性横断面研究。在收到大学伦理审查委员会、IRB 委员会的信函后，从接受潘塞蒂治疗的患者的病历/图表中收集数据，并用统计软件包 21 版对收集的数据进行录入和分析。结果以文字和表格的形式呈现。

结果

本研究共纳入 200 名患有 256 只先天性马蹄足的儿童。在所有研究对象中，143 名（71.5%）患有单侧马蹄足。在 200 名患有马蹄足的儿童中，采用潘塞蒂方法治疗先天性马蹄足的 5 年结果为 187 名（93.5%），95%可信区间（90-99.5）。在研究参与者中，男性占 66.5%（几乎是女性的两倍）。