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ISSN 2007-8560 (Print)
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)

Ponseti method for the treatment of clubfoot: plastering technique and percutaneous Achilles tenotomy

Arana HEI, Cuevas AC

Language: Spanish
References: 13
Page: 186-194
PDF size: 342.34 Kb.


ABSTRACT

The Ponseti method has become the gold standard treatment for clubfoot. This method of treatment consists of two phases, the first phase is performed by the orthopedic and involves gentle manipulation of the foot, plastered subsequent to maintain the correction achieved with the handling and the repetition of such actions every week during between four and eight weeks average, and the realization of the Achilles tenotomy for equinus correction with subsequent placement of the last cast in overcorrection which remain 2-3 weeks for Achilles tendon heal in its new position; the second stage of treatment is to maintain the correction achieved with abduction splint, which should be used until 4-5 years of age with a use protocol perfectly standardized.


REFERENCES

  1. Ponseti VI, Smoley EN. Congenital clubfoot: the results of treatment. J Bone Joint Surg Am. 1963; 45: 261-344.

  2. Dobbs M, Gurnett C. Update on clubfoot: etiology and treatment. Clin Orthop Relat Res. 2009; 467: 1146-1153.

  3. Siapkara A, Duncan R. Congenital talipes equinovarus. A review of current management. J Bone Joint Surg Br. 2007; 89-B: 995-1000.

  4. Stahely L. Pie zambo: el método de Ponseti. 3a. ed. Global Help; 2009.

  5. Ponseti I. Congenital clubfoot. Fundamentals of treatment. 2a. ed. Oxford University Press Inc.; 1996.

  6. Abdelgawad A, Lehman W, van Bosse H, Scher D, Sala D. Treatment of idiopathic clubfoot using the Ponseti method: minimun 2-years follow-up. J Pediatr Orthop B. 2007; 16: 98-105.

  7. Laaveg S, Ponseti I. Long-term results of treatment of congenital clubfoot. J Bone Joint Surg Am. 1980; 62: 23-31.

  8. Ponseti I. Current concepts. Common errors in the treatment of congenital clubfoot. J Bone Joint Surg Am. 1992; 74-A: 448-454.

  9. Cooper D. Treatment of idiophatic clubfoot. A thirty year follow-up. J Bone Joint Surg Am. 1995; 787: 1477-1489.

  10. Scher D, Feldman D, van Bosse H, Sala D. Predicting the need for tenotomy in the Ponseti method for correction of clubfeet. J Pediatr Orthop. 2004; 24: 349-352.

  11. Koureas G, Rampal V, Mascard E, Seringe R, Wicart P. The incidence and treatment of rocker bottom deformity as a complication of the conservative treatment of idiophatic congenital clubfoot. J Bone Joint Surg Br. 2008; 90-B: 57-60.

  12. Maranho D, Nogueira-Barbosa M, Simao M, Volpon J. Ultrasonographic evaluation of Achilles tendon repair after percutaneus sectioning for the correction of congenital clubfoot residual equinus. J Pediatr Orthop. 2009; 29: 804-810.

  13. Barker S, Lavy C. Correlation of clinical and ultrasonographic findings after Aquilles tenotomy in idiophatic clubfoot. J Bone Joint Surg Br. 2006; 88-B: 377-379.




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