Congenital Clubfoot Treated with the Ponseti Method / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 634-641, 2009.
Article
in Korean
| WPRIM
| ID: wpr-647477
ABSTRACT
PURPOSE:
This study examined the Ponseti method for the nonsurgical treatment of a congenital clubfoot. MATERIALS ANDMETHODS:
A total of 35 patients (52 clubfeet) were evaluated. All patients were treated by serial manipulation and casting as described by Ponseti. The patients were divided in two groups (Group 1 the result was successful and did not require extensive corrective surgery, Group 2 the result was unsuccessful and required extensive corrective surgery). The outcome in the two groups was compared in terms of the severity of initial deformity, initial roentgenographic findings, Achilles tenotomy, numbers of Ponseti casts before the Achilles tenotomy, total numbers of casting, age at the initial treatment, bilaterality, gender and compliance of the brace.RESULTS:
Twenty eight patients (42 feet, 80.7%) were corrected successfully without extensive corrective surgery (Group 1). Six patients (10 feet, 19.3%) required extensive corrective surgery (Group 2). The requirement of extensive corrective surgery was not related to the initial roentgenographic findings, number of Ponseti casts before the Achilles tenotomy, total numbers of castings, age at the initial treatment, bilaterality and gender. However, it was related to the severity of the initial deformity and compliance of the brace.CONCLUSION:
The result of a congenital clubfoot treated with the Ponseti method was successful in more than 80% of patients. It was affected by the severity of the initial deformity and compliance of the brace. However, a long-term follow-up will be needed to evaluate the recurrence and residual deformities.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Congenital Abnormalities
/
Braces
/
Clubfoot
/
Follow-Up Studies
/
Compliance
/
Tenotomy
/
Foot
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2009
Type:
Article
Similar
MEDLINE
...
LILACS
LIS