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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2015, Number 4

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Ortho-tips 2015; 11 (4)

Scientific basis of the Ponseti method for the treatment of clubfoot

Ríos RJG

Language: Spanish
References: 10
Page: 181-185
PDF size: 480.97 Kb.


ABSTRACT

Ponseti management is recognized as the gold standard for treatment of clubfoot adduct congenital, and although it was described in 1963 by Dr. Ponseti, it was not until early 2000, when it has a boom and acceptance, making used today in all pediatric orthopedic centers in the world as the first and best treatment option for significantly reducing clubfoot surgical treatment for correction. The treatment protocol is very strict and details make the difference in the success of the results reported in the literature. In a study where a systematic review was done in 19 published articles using the Ponseti method for clubfoot treatment, it was found that in 11 of them, the details of handling, cast placement, and Achilles tendon tenotomy, were poorly described.


REFERENCES

  1. Ponseti IV. Congenital clubfoot: fundamentals of treatment. Oxford, UK: Oxford University Press; 1996.

  2. Ponseti IV. Relapsing clubfoot: causes, prevention, and treatment. Iowa Orthop J. 2002; 22: 55-56.

  3. Ponseti IV, Smoley EN. The classic: congenital club foot: the results of treatment. 1963. Clin Orthop Relat Res. 2009; 467: 1133-1145.

  4. Morcuende JA, Dolan LA, Dietz FR, Ponseti IV. Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method. Pediatrics. 2004; 113: 376-380.

  5. Avilucea FR, Szalay EA, Bosch PP, Sweet KR, Schwend RM. Effect of cultural factors on outcome of Ponseti treatment of clubfeet in rural America. J Bone Joint Surg Am. 2009; 91: 530-540.

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  8. Verma A, Mehtani A, Sural S, Maini L, Gautam VK, Basran SS, et al. Management of idiopathic clubfoot in toddlers by Ponseti’s method. J Pediatr Orthop B. 2012; 21: 79-84.

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