Ponseti方法治疗畸胎型马蹄内翻足

Ponseti method for teratologic clubfoot

  • 摘要: 目的:报告Ponseti方法治疗畸胎型马蹄内翻足的初步效果。方法:采用每周2~3次手法矫正的Ponseti方法治疗畸胎型马蹄内翻足16例25只足,其中男性9例,女性7例;左侧5例,右侧2例,双侧9例;治疗时年龄平均3个月(7 d18个月)。结果:手法矫正及石膏固定平均10次(7~14次)后,25足均由僵硬性转变为柔软性。经平均1年(3个月3年)的随访,22足外形正常,踝关节的背伸及跖屈功能正常,1只足跖屈畸形复发,2只足改为手术治疗。结论:增加手法矫正次数的Ponseti方法是治疗畸胎型马蹄内翻足的有效方法之一。

     

    Abstract: Objective:To describe the primary results of Ponseti method for teratologic clubfoot.Methods:Sixteen patients with 25 teratologic clubfeet were treated by the Ponseti method with 2~3 times weekly from 2003.1 to 2006.12.Nine patients were male and seven were female.The left foot was 5,the right 2 and the bilateral 9.The average age at the time of the Ponseti method was 3 months with a range of 7 days to 18 months.Results:Stiff foot got ductility in 25 feet after the tenth(ranging 7 to 14 times) treatment of Ponseti method.At an average of one year with a range of 3months to 3 years,the contour of foot was satisfactory in 22 feet.The extension and flexion of the ankle got normal.Equinus got recurrence in one foot.Surgical release was done in 2 feet.Conclusion:The Ponseti method with increasing times weekly is one of satisfactory methods for teratologic clubfoot.

     

/

返回文章
返回