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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)

Management of recurrence and complications with the Ponseti method for the treatment of clubfoot

Ascacio SMA

Language: Spanish
References: 12
Page: 200-206
PDF size: 1523.85 Kb.


ABSTRACT

At present the treatment of clubfoot with the Ponseti method reports a high percentage of deformity correction, keeping the correction of the foot using the foot abduction brace. Even with proper use of the brace it is reported that there is a recurrence porcentage of deformity of up to 6%, but increases to 80% when not used properly. That is why the lack of bracing is related as a major cause of relapse. When the correction is achieved it is important to identify the signs of relapse and not ignore them, such as the loss of dorsiflexion or presence of rearfoot varus or forefoot adduct. In such a way that allows us to promptly provide adequate treatment to maintain the corrected foot, so the Ponseti method is very specific in these two steps. Some complications of the cast are edema, ulcers, etc. But also describes complications that occur during handling (manipulation) of the foot when the correction that may cause overcorrection of the forefoot, rotation of the ankle mortise, rocker bottom feet, dig for increased foot pronation. Complex foot deformities are also described, which are deformities that should be treated differently to idiopathic clubfoot.


REFERENCES

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  9. Luckett MR, Hosseinzadeh P, Ashley PA, Muchow RD, Talwalkar VR, Iwinski HJ, et al. Factor predictive of second recurrence in clubfeet treated by Ponseti casting. J Pediatric Orthop. 2015; 35 (3): 303-306.

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