Treatment of idiopathic club foot using the Ponseti method
العنوان: | Treatment of idiopathic club foot using the Ponseti method |
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المؤلفون: | J. Sampath, C E Bruce, A. Bass, N. K. Garg, M. Changulani, T. S. Rajagopal, S Nayagam |
المصدر: | The Journal of Bone and Joint Surgery. British volume. :1385-1387 |
بيانات النشر: | British Editorial Society of Bone & Joint Surgery, 2006. |
سنة النشر: | 2006 |
مصطلحات موضوعية: | Male, Reoperation, medicine.medical_specialty, Clubfoot, Percutaneous, medicine.medical_treatment, Tenotomy, Tendons, Postoperative Complications, Recurrence, Deformity, medicine, Humans, Orthopedics and Sports Medicine, General anaesthesia, business.industry, Infant, Newborn, Infant, medicine.disease, Ponseti method, Surgery, Casts, Surgical, Splints, Treatment Outcome, Orthopedic surgery, Manipulation, Orthopedic, Patient Compliance, Female, medicine.symptom, business |
الوصف: | We report our initial experience of using the Ponseti method for the treatment of congenital idiopathic club foot. Between November 2002 and November 2004 we treated 100 feet in 66 children by this method. The standard protocol described by Ponseti was used except that, when necessary, percutaneous tenotomy of tendo Achillis were performed under general anaesthesia in the operating theatre and not under local anaesthesia in the out-patient department. The Pirani score was used for assessment and the mean follow-up time was 18 months (6 to 30). The results were also assessed in terms of the number of casts applied, the need for tenotomy of tendo Achillis and recurrence of the deformity. Tenotomy was required in 85 of the 100 feet. There was a failure to respond to the initial regimen in four feet which then required extensive soft-tissue release. Of the 96 feet which responded to initial casting, 31 (32%) had a recurrence, 16 of which were successfully treated by repeat casting and/or tenotomy and/or transfer of the tendon of tibialis anterior. The remaining 15 required extensive soft-tissue release. Poor compliance with the foot-abduction orthoses (Denis Browne splint) was thought to be the main cause of failure in these patients. |
تدمد: | 2044-5377 0301-620X |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f84e8bb3c7bfe168bd5376da88a3c0eTest https://doi.org/10.1302/0301-620x.88b10.17578Test |
حقوق: | CLOSED |
رقم الانضمام: | edsair.doi.dedup.....8f84e8bb3c7bfe168bd5376da88a3c0e |
قاعدة البيانات: | OpenAIRE |
تدمد: | 20445377 0301620X |
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