Department of Orthopaedic Surgery, National Orthopaedic Hospital, Enugu, Nigeria.
Department of Orthopaedics and Traumatology, University of Calabar, Calabar, Cross River State, Nigeria.
Afr J Paediatr Surg. 2023 Apr-Jun;20(2):106-108. doi: 10.4103/ajps.ajps_113_21.
Idiopathic talipes equinovarus (ITEV) 'aka clubfoot' is the most common foot deformity in children. Ponseti technique had been accepted as a standard method for correction. The traditional Ponseti technique for correction is well known. Accelerated Ponseti technique is said to offer some advantages over the standard technique. The aim of this study was to determine and document the efficiency and success rate of accelerated Ponseti technique.
This was a prospective interventional study which lasted 26 months from February 2017 to April 2019. Twenty-eight patients with 42 feets who met the inclusion criteria were recruited. They had serial manipulation and casting twice every week till percutaneous tenotomy was done as indicated. Final cast usually applied after tenotomy and left for 3weeks. Each patient was followed up for a year corresponding to 9 months after the commencement of night bracing. Data were analysed using SPSS version 20.
The mean age was 8.1 months with a range of 1-36 months. The mean Pirani score recorded was 4.4, while the mean number of casting sessions was 3.6 and the mean duration of treatment was 12.4 days. The tenotomy rate recorded was 42.9%. Pre-bracing assessment of Pirani score, passive ankle dorsiflexion and foot abduction done and repeated after a year revealed optimal correction. The relapsed rate at 1 year was 4.8%. The only complication observed was pressure sore in a patient.
The accelerated Ponseti technique is an efficient method of treatment of ITEV in a much shorter time with a higher success rate. It facilitates compliance with treatment.
特发性马蹄内翻足（ITEV）又称“先天性马蹄内翻足”，是儿童最常见的足部畸形。Ponseti 技术已被接受为矫正的标准方法。传统的 Ponseti 技术矫正方法众所周知。加速 Ponseti 技术据称比标准技术具有一些优势。本研究旨在确定和记录加速 Ponseti 技术的效率和成功率。
这是一项前瞻性干预研究，从 2017 年 2 月至 2019 年 4 月持续了 26 个月。符合纳入标准的 28 名患者（42 只脚）被招募入组。他们接受了每周两次的连续手法复位和石膏固定，直到有指征进行经皮跟腱切断术。通常在跟腱切断术后应用最终石膏固定，固定 3 周。每位患者在开始夜间支具治疗后随访 1 年，即 9 个月。使用 SPSS 版本 20 对数据进行分析。
平均年龄为 8.1 个月，范围为 1-36 个月。记录的平均 Pirani 评分为 4.4，平均石膏固定次数为 3.6 次，平均治疗时间为 12.4 天。记录的跟腱切断术率为 42.9%。在支具治疗前评估 Pirani 评分、被动踝关节背屈和足部外展，并在 1 年后重复评估，结果显示矫正效果最佳。1 年后的复发率为 4.8%。唯一观察到的并发症是 1 例患者出现压疮。
加速 Ponseti 技术是一种高效的 ITEV 治疗方法，可在更短的时间内以更高的成功率进行治疗。它有利于治疗的依从性。
