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使用庞塞蒂方法对特发性马蹄内翻足早期治疗的评估

EVALUATION OF EARLY TREATMENT OF IDIOPATHIC CLUBFOOT USING THE PONSETI METHOD.

作者信息

Oliveira Caio Luiz DE Toledo, Gonçalves Geraldo Mota, Volpon José Batista

机构信息

Universidade de Sao Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.

Universidade de Sao Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Departamento de Ortopedia e Anestesiologia, Ribeirão Preto, SP, Brazil.

出版信息

Acta Ortop Bras. 2023 May 1;31(2):e259899. doi: 10.1590/1413-785220233102e259899. eCollection 2023.

Abstract

UNLABELLED

Congenital clubfoot is one of the most common congenital deformities of the lower limbs, with an estimated incidence of 1 for every 1,000 live births. Its treatment is controversial, and currently the Ponseti method has been widespread, showing promising results and decreasing the need for extensive surgical releases, as was usually done until the introduction of the technique. Currently used in approximately 55 countries, the method has changes and scopes that vary according to the society in which it is applied, with the results and peculiarities of the method molded according to the sample studied.

OBJECTIVE

To evaluate the clinical outcome of clubfoot treatment using the Ponseti method under local conditions.

METHODS

The clinical evaluation will include a descriptive analysis of the sample, as well as radiographic evaluation and family satisfaction with the treatment.

RESULTS

In total, 46% of the patients had good results and no family was dissatisfied with the treatment results. No statistically relevant relationships were found between the studied variables.

CONCLUSION

The results are good and generally similar to those in the literature. Our epidemiological data generally agree with those reported by other authors.

摘要

未标注

先天性马蹄内翻足是最常见的下肢先天性畸形之一,估计每1000例活产儿中就有1例发病。其治疗存在争议,目前庞塞蒂方法已广泛应用,显示出良好的效果,并减少了以往通常采用的广泛手术松解的需求。该方法目前在约55个国家使用,其方法的变化和适用范围因应用的社会环境而异,方法的结果和特点根据所研究的样本而形成。

目的

评估在当地条件下使用庞塞蒂方法治疗马蹄内翻足的临床效果。

方法

临床评估将包括对样本的描述性分析,以及影像学评估和家庭对治疗的满意度。

结果

总体而言,46%的患者效果良好,没有家庭对治疗结果不满意。在所研究的变量之间未发现统计学上的相关关系。

结论

结果良好,总体上与文献中的结果相似。我们的流行病学数据总体上与其他作者报告的数据一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4f5/10158966/866093cc48fe/1809-4406-aob-31-02-e259899-gf1.jpg

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