Butt Maryum Naseer, Perveen Wajida, Ciongradi Carmen-Iulia, Alexe Dan Iulian, Marryam Misbah, Khalid Laique, Dobreci Daniel Lucian, Sârbu Ioan
Muzaffarabad Physical Rehabilitation Centre, Muzaffarabad 13100, Pakistan.
School of Allied Health Sciences, CMH Lahore Medical College & IOD (NUMS Rawalpindi), Lahore 54810, Pakistan.
Children (Basel). 2023 Aug 3;10(8):1340. doi: 10.3390/children10081340.
: Clubfoot is a congenital deformity that can affect one or both of a newborn's lower extremities. The main objective of the study is to evaluate and compare the outcomes of the Ponseti method for the management of different types of clubfoot. : A retrospective analysis of 151 children with 253 clubfeet (idiopathic untreated, idiopathic recurrent, and syndromic) with at least one year of follow-up was conducted in four months after ethical approval. Data were collected with a structured proforma after the consent of the parents. An independent sample -test was applied to show the comparison between the groups, and a -value of 0.05 was considered significant. : Out of 151 patients, 76% were male and 24% were female. Out of a total of 235 feet, 96 (63%) were idiopathic untreated, 40 (26.5%) were idiopathic recurrent, and 15 (9.5%) were syndromic clubfoot. The average number of casts was higher in syndromic clubfoot (9 casts per foot). There was no significant difference in the baseline Pirani score of the three groups (-value > 0.05); but after one year of follow-up, there was a significant difference in the Pirani score of idiopathic and syndromic clubfoot (-value ≤ 0.05) and between recurrent clubfoot and syndromic clubfoot (-value = 0.01). : The aetiology of syndromic clubfoot affects the outcomes of the Ponseti method and leads to relapse. In idiopathic (untreated and recurrent) clubfoot, the Ponseti method does not produce a significant difference in outcome. Poor brace compliance and a lack of tenotomy lead to orthotic (ankle foot orthosis AFO and foot orthosis FO) use in the day time and the recurrence of clubfoot deformity in these three types of clubfoot.
马蹄内翻足是一种先天性畸形，可影响新生儿的一侧或双侧下肢。本研究的主要目的是评估和比较庞塞蒂方法治疗不同类型马蹄内翻足的效果。：在获得伦理批准后的四个月内，对151例患有253只马蹄内翻足（特发性未经治疗、特发性复发性和综合征性）且随访至少一年的儿童进行了回顾性分析。在获得家长同意后，使用结构化表格收集数据。应用独立样本检验来显示组间比较，P值<0.05被认为具有显著性。：在151例患者中，76%为男性，24%为女性。在总共235只脚中，96只（63%）为特发性未经治疗的，40只（26.5%）为特发性复发性的，15只（9.5%）为综合征性马蹄内翻足。综合征性马蹄内翻足的平均石膏固定次数较高（每只脚9次）。三组的基线皮拉尼评分无显著差异（P值>0.05）；但随访一年后，特发性和综合征性马蹄内翻足的皮拉尼评分有显著差异（P值≤0.05），复发性马蹄内翻足和综合征性马蹄内翻足之间也有显著差异（P值=0.01）。：综合征性马蹄内翻足的病因会影响庞塞蒂方法的效果并导致复发。在特发性（未经治疗和复发性）马蹄内翻足中，庞塞蒂方法在效果上没有产生显著差异。支具依从性差和未进行跟腱切断术导致这三种类型的马蹄内翻足在白天使用矫形器（踝足矫形器AFO和足矫形器FO）以及马蹄内翻足畸形复发。
