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重复使用庞塞蒂方法治疗2岁以下儿童复发性特发性先天性马蹄内翻足：一项前瞻性研究。

Repeating Ponseti method for treating relapsed idiopathic congenital talipes equinovarus in children less than two years of age: a prospective study.

作者信息

Ahmed Khalaf Fathy Elsayed, Marzouk Ashraf Rashad, Eldin Marwan Shams

机构信息

Orthopaedics and Traumatology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.

出版信息

BMC Musculoskelet Disord. 2025 Mar 15;26(1):263. doi: 10.1186/s12891-025-08464-8.

DOI:10.1186/s12891-025-08464-8
PMID:40087635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11909929/
Abstract

BACKGROUND

Various conservative and non-conservative methods have been debated for their effectiveness in treating relapsed idiopathic congenital talipes equinovarus (CTEV). The aim of this work was the assessment of repeating Ponseti method in management of relapsed idiopathic CTEV in children less than two years of age.

METHODS

This prospective study was carried out on 50 clubfeet in 33 children aged 10 months - two years, who had relapsed idiopathic CTEV after documented complete correction of the initial deformity with Ponseti method and initiation of a bracing protocol, between April 2022 and April 2024. Before, during, and after the last cast removal, as well as at the end of follow-up, the Pirani scoring system was utilized to evaluate each clubfoot.

RESULTS

The mean age was 12.5 ± 6.08 months. Sex was male in 26 (52%) patients. The side was right in 28 (56%) patients. Pirani score was significantly lower after the last cast removal and at the end of follow up than before treatment (P < 0.001).

CONCLUSION

Relapsed idiopathic CTEV in children less than two years of age were effectively managed with the repeating of Ponseti method.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

TRIAL REGISTRATION

Not applicable.

CINICAL TRIAL NUMBER

Not applicable.

摘要

背景

对于复发性特发性先天性马蹄内翻足（CTEV）的治疗，各种保守和非保守方法的有效性一直存在争议。本研究的目的是评估在小于两岁的儿童复发性特发性CTEV的治疗中重复使用庞塞蒂方法的效果。

方法

本前瞻性研究对2022年4月至2024年4月期间33名年龄在10个月至2岁的儿童的50只畸形足进行了研究，这些儿童在最初的畸形通过庞塞蒂方法完全矫正并开始支具治疗方案后出现了复发性特发性CTEV。在最后一次石膏拆除前、拆除过程中及拆除后，以及随访结束时，使用皮拉尼评分系统对每只畸形足进行评估。

结果

平均年龄为12.5± 6.08个月。26名（52%）患者为男性。28名（56%）患者患侧为右侧。最后一次石膏拆除后及随访结束时的皮拉尼评分显著低于治疗前（P<0.001）。

结论

小于两岁的儿童复发性特发性CTEV通过重复庞塞蒂方法得到了有效治疗。

研究类型/证据水平：治疗性IV级。

试验注册

不适用。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/568d/11909929/ee8b84193088/12891_2025_8464_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/568d/11909929/9f5fe8fb9cdf/12891_2025_8464_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/568d/11909929/ee8b84193088/12891_2025_8464_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/568d/11909929/9f5fe8fb9cdf/12891_2025_8464_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/568d/11909929/ee8b84193088/12891_2025_8464_Fig2_HTML.jpg

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本文引用的文献

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Acta Ortop Bras. 2023 May 1;31(2):e259899. doi: 10.1590/1413-785220233102e259899. eCollection 2023.
2
A Prospective Study on Functional Outcomes of Serial Cast Correction in Congenital Talipes Equinovarus (CTEV) by Ponseti Method.一项关于采用庞塞蒂方法对先天性马蹄内翻足（CTEV）进行系列石膏矫正功能预后的前瞻性研究。
Cureus. 2023 Mar 10;15(3):e35987. doi: 10.7759/cureus.35987. eCollection 2023 Mar.
3
Common Errors in the Management of Idiopathic Clubfeet Using the Ponseti Method: A Review of the Literature.
使用庞塞蒂方法治疗特发性马蹄内翻足的常见管理错误：文献综述
Children (Basel). 2023 Jan 12;10(1):152. doi: 10.3390/children10010152.
4
Evaluation of Results of Ponseti Technique in Idiopathic Clubfoot using Clinical Evaluation and Radiological Assessment.使用临床评估和放射学评估对庞塞蒂技术治疗特发性马蹄内翻足的结果进行评估。
Int J Appl Basic Med Res. 2022 Jan-Mar;12(1):43-46. doi: 10.4103/ijabmr.ijabmr_281_21. Epub 2022 Jan 31.
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Narrative review of the management of a relapsed clubfoot.复发性马蹄内翻足治疗的叙述性综述
Ann Transl Med. 2021 Jul;9(13):1102. doi: 10.21037/atm-20-7730.
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