Instituto de Assistencia Médica ao Servidor Público Estadual (IAMSPE), São Paulo, Brazil.
Iowa Orthop J. 2023 Dec;43(2):90-95.
The Ponseti method of treatment for clubfoot which utilizes serial manipulations and casting in order to achieve correction of the deformity has become increasingly popular due to its robust track record of success without the need for surgical intervention and is considered the gold standard for clubfoot treatment. Exposure of new technology in the scientific literature is associated with the diffusion and adoption of that technology in clinical practice. The aim of this study sought to identify tendencies in the thematic changes in medical literature regarding the treatment of congenital clubfoot over a period of twenty-three years, from 1997 to 2021.
The Medline databases were searched for articles containing the keyword "clubfoot". Articles from 1997 to 2021 were identified and analyzed by institutions which published the articles, and whether treatment was with the Ponseti method or surgical interventions. We also observed in order the geographic diffusion of the Ponseti method.
2067 articles were found in Pubmed referencing clubfoot, and in these publications 577 addressed the Ponseti method and 273 articles discussed surgical treatment. From 1997 - 2000, the only articles discussing the Ponseti Method were from Iowa,in the United States. The increasing number of publications about the Ponseti method and the decrease in publications about surgical treatment for clubfoot occurred after 2003. In 1997, only one country had a publication regarding the Ponseti method; by 2018, 24 countries published articles on the method.
These results suggest a trend of dissemination of knowledge to additional countries, reflecting the more widespread usage of the method throughout the world, and global outreach as a result of the work of Ponseti International Association. .
潘塞提（Ponseti）方法通过序列手法和矫形石膏固定来矫正足畸形，因其无需手术干预且成功率高而越来越受欢迎，已成为治疗马蹄内翻足的金标准。新技术在科学文献中的出现与该技术在临床实践中的传播和采用有关。本研究旨在确定 23 年来（1997 年至 2021 年）医学文献中关于先天性马蹄内翻足治疗主题变化的趋势。
在 Medline 数据库中搜索包含关键字“clubfoot”的文章。确定了 1997 年至 2021 年的文章，并按发表文章的机构以及治疗方法是潘塞提方法还是手术干预进行分析。我们还观察了潘塞提方法的地理扩散顺序。
在 Pubmed 中发现了 2067 篇提到马蹄内翻足的文章，其中 577 篇讨论了潘塞提方法，273 篇讨论了手术治疗。1997 年至 2000 年，唯一讨论潘塞提方法的文章来自美国爱荷华州。2003 年后，关于潘塞提方法的出版物数量不断增加，而关于手术治疗马蹄内翻足的出版物数量减少。1997 年，只有一个国家发表了关于潘塞提方法的文章；到 2018 年，已有 24 个国家发表了关于该方法的文章。
这些结果表明，向更多国家传播知识的趋势反映了该方法在全球范围内的更广泛应用，以及潘塞提国际协会（Ponseti International Association）的全球推广。
