Relapse of Clubfoot after Treatment with the Ponseti Method and the Function of the Foot Abduction Orthosis
Clinics in Orthopedic Surgery
;
: 245-252, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-104734
ABSTRACT
Ponseti clubfoot treatment has become more popular during the last decade because of its high initial correction rate. But the most common problem affecting the long-term successful outcome is relapse of the deformity. Non-compliance with Ponseti brace protocol is a major problem associated with relapse. Although more comfortable braces have been reported to improve the compliance, they all have the same design and no significant changes have been made to the protocols. After refinement in the Ponseti method and emphasizing the importance of brace to parents, the relapse rate has been markedly decreased. Nevertheless, there are patients who do not have any recurrence although they are not completely compliant with the brace treatment, whereas other patients have a recurrence even though they are strictly compliant with the brace treatment. The aim of this article is to review the relapse of clubfoot and the function of the brace and to develop an individualized brace protocol for each patient by analyzing the mechanism of the brace and the biomechanical properties of muscles, tendons, and ligaments.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Aparatos Ortopédicos
/
Recurrencia
/
Pie Equinovaro
/
Rango del Movimiento Articular
/
Cooperación del Paciente
/
Resultado del Tratamiento
Tipo de estudio:
Guía de Práctica Clínica
Límite:
Humanos
Idioma:
Inglés
Revista:
Clinics in Orthopedic Surgery
Año:
2014
Tipo del documento:
Artículo
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