medigraphic.com
Colegio de Medicos y Cirujanos República de Costa Rica

2010, Number 594

<< Back Next >>

Rev Med Cos Cen 2010; 67 (594)

Manejo y seguimiento del pie Zambo Idipático en niños mayores de 3 años de edad por medio del método de ponseti

Sanabria ÁG, López RR, Matamoros AO

Language: Spanish
References: 15
Page: 377-384
PDF size: 570.13 Kb.


ABSTRACT

The Ponseti Method of treating club foot has been shown to be effective in children up to 2 years of age. However it has been demonstrated recently how children older than 2 years can have a rate of success of more than 60 %. The current short term follow up study, demonstrate how we get a 70,8% of good results, with 29,1% of complications. We prospectively reviewed 24 cases (30 feet) with diagnosis of Club foot older than 3 years old. We had initially 4 patients with recent diagnosis and 20 were recurrences. All treated with Ponseti technique with some modifications. The mean age at presentation was 3,6 years, 14 male / 10 female, mean follow up 5,3 months, mean time of immobilization was 5 weeks. We conclude like other studies Ponseti method is safe, low cost and first line of treatment for children with late diagnosis and recurrences in the walking age.


REFERENCES

  1. Boehm S., Sinclair M. Foot Abduction Brace in the Ponseti Method for the Idiopathic Clubfoot Deformity. JPO. Sep 2007. Vol. 27. No.6. Pgs. 712-16.

  2. Dobbs M. Clubfoot: Etiology and Treatment. Clin. Orthop. Rel. Res. Vol 467, No 5, May 2009, pgs 1119-20.

  3. Dobbs M., Gurnett C.A. Update on Clubfoot: Etiology and Treatment. Clin. Orthop. Rel. Res. Vol 467, No 5, May 2009, pgs 1146-53.

  4. Garg S., Dobbs M. Use of the Ponseti Method for current clubfoot following posteromedial release. Indian J Orthop. 2008. Vol 42. Pgs 68–72.

  5. Hoefnagels E., Waites M., Belkoff S., Swierstra B. Percutaneus Achilles tendon lengthening. A cadaver based study of failure of the triple hemisection technique. Acta Orthopaedica 2007. Vol 78. No 6. Pags 808-12.

  6. Kuo K., Hennigan S., Hastings M. Anterior tibial tendon transfer in residual dynamic clubfoot deformity. Journal of Pediatric Orthopedics. Vol 21, No 1, Jan/Feb 2001, pgs 35-41.

  7. Kuo K., Smith P. Correcting Residual Deformity Following Clubfoot Releases. Clin. Orthop. Rel. Res. Vol 467, No 5, May 2009, pgs 1326-33.

  8. Lourenco A., Morcuende J. Correction of the neglected idiopathic club foot by the Ponseti Method. JBJS Br. 2007. Vol 89. Pgs 378-81.

  9. Morcuende J., Dolan L, Dietz F., Ponseti I. Radical reduction in the rate of ex-tensive corrective surgery for clubfoot using the Ponseti method. Pediatrics. 2004. Vol 113. Pgs 376–80.

  10. Morrisy R., Weinstein S. Lovell and Winter´s Pediatric Orthopaedics, Chapter 30 : The Foot. Lippincott Williams & Wilkins. Sixth edition 2006. Pgs 1262-80.

  11. Nogueira M., Ey A., Gomez C. Is it possible to treat recurrent clubfoot with the Ponseti Technique after posteromedial release? Clin. Orthop. Rel. Res. Vol 467, No 5, May 2009, pgs 1298-1305.

  12. Pirani S., Naddumba E., Mathias R., Konde – Lule J., Penny J., Beyeza T., Mbonye B., Amone J., Franceschi F. Towards Effective Ponseti Clubfoot Care: The Uganda Sustainable Clubfoot Care Project. Clin. Orthop. Rel. Res. Vol 467, No 5, May 2009, pgs 1154-1163.

  13. 13 Ponseti I., Smoley E. The Classic Congenital Club Foot: The results of treatment. Clin. Orthop. Rel. Res. Vol 467, No 5, May 2009, pgs 1133-45.

  14. Ponseti I., Clubfoot: Ponseti Management. Global Help Publications. Third Edition 2008. Pgs 1-31.

  15. Spiegel D., Shrestha O., Sitoula P., et al. Ponseti method for untreated idiopathic clubfeet in Nepalese Patients from 1 to 6 years of age. Clin. Orthop. Rel. Res. Vol 467, No 5, May 2009, pgs 1164–70.




2020     |     www.medigraphic.com