Annals of African medicine · 2025
Midterm Results of Ponseti Management for Idiopathic Congenital Clubfoot at a Single Tertiary Center.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Damsas Lulu, Shetty Chethan B, Kamath Katapady Ramachandra, Salian Preetham Raj, Hegde Atmananda S, Mane Prajwal P
Аннотация
BACKGROUND: Congenital talipes equinovarus, also known as clubfoot, is one of the most common deformities of the musculoskeletal system in newborns. Although Kites developed one of the first nonsurgical methods, the Ponseti method is more popular, where counterpressure is applied on the talar head.
METHODOLOGY: Two hundred and twelve idiopathic clubfeet were treated (84 bilateral and 44 unilateral) with the Ponseti method of casting; tenotomy was considered when the midfoot Pirani score was 0. Tenotomy was followed by casting for 3 weeks. The final functional outcome was assessed at 5 years (60 months) with Richard scoring.
RESULTS: The average number of casts applied for complete correction was 7.31, and 86.3% of the cases required tenotomy. Richard's scoring, one of the better midterm functional scores, obtained a good result in 94% of cases.
CONCLUSION: Early intervention with the Ponseti method results in a plantigrade, functional foot that resembles a normal foot. This method is not only safe but also effectively reduces the economic and social burdens associated with clubfoot.
METHODOLOGY: Two hundred and twelve idiopathic clubfeet were treated (84 bilateral and 44 unilateral) with the Ponseti method of casting; tenotomy was considered when the midfoot Pirani score was 0. Tenotomy was followed by casting for 3 weeks. The final functional outcome was assessed at 5 years (60 months) with Richard scoring.
RESULTS: The average number of casts applied for complete correction was 7.31, and 86.3% of the cases required tenotomy. Richard's scoring, one of the better midterm functional scores, obtained a good result in 94% of cases.
CONCLUSION: Early intervention with the Ponseti method results in a plantigrade, functional foot that resembles a normal foot. This method is not only safe but also effectively reduces the economic and social burdens associated with clubfoot.