Harran Üniversitesi Tıp Fakültesi Dergisi

Yazarlar: Cemil ERTÜRK

Konular:-

Anahtar Kelimeler:Clubfoot,Infant,Orthosis,Ponseti method

Özet: Objectives:Although several methods were described for congenital clubfoot,ponseti method become more popular in recent decade.In this study of congenital clubfoot,the effectiveness of ponseti method was searched. Methods:During the study 24 children’s 31 feet 14 male,7 female ,average age:2 months 1 day-7 months were evaluated.According to Dimeglio grade II.,III. and IV. Deformities were studied.The 24 feet of 19 patients were never treated before.7 feet of 5 patients were treated in other hospitals.All of these patients were treated again by manipulation method and casting in accordance with the Ponseti method.Whenever it was needed percutaneous Achilles tenotomy %58 was performed.Maintance of correction was obtained with the use of a foot abduction orthosis.The avarage follow-up period was 16 months. range 5 months to 36 months . Results: 28 deformitted feet of 21 patients were treated succesfully by using the Ponseti method.18 patients %58 were performed Achilles tenotomy.3 patients couldn’t be complianced foot abduction orthosis application and resulted with failure. Conclusion:It was reported the success result of the ponseti method in congenital clubfoot treatment,was %95.The Ponseti method is an effective and re used tecnique in congenital clubfoot treatment.The most important factor is that after casting the prevent of recurrence the long-term use of abduction orthosis.The family must be educated and the shoe of orthosis must be comfortable in order to be compliance of the patient

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