Ponseti方法治疗先天性马蹄内翻足疗效

Therapeutic Effect of Ponseti Method Treatment on Congenital Clubfoot

目的评价Ponseti方法早期治疗先天性马蹄内翻足的疗效。方法应用Ponseti方法(连续石膏矫形加皮下跟腱切断加足外展矫形支具)治疗先天性马蹄内翻足25例31足。男20例25足,女5例6足;年龄5d^12个月。结果病例随访2~24个月,平均16.3个月,按Dimeglio和Pirani分类和评价方法,25例31足中24例30足(96.8%)畸形获得满意矫正,1例1足残余部分畸形需手术治疗。结论Ponseti方法早期治疗先天性马蹄内翻足均可取得良好疗效。

Objective To evaluate the curative effect of Ponseti method for early treatment of congenital clubfoot. Methods Twenty - five patients （ 31 feet） with congenital clubfoot, including 20 males （ 25 feet） and 5 females （6 feet） , were treated by Ponseti method （ with continuous casting orthopaedic and percutaneous tendoachilles tenotomy and abductive orthopedic brace）. The ages of patients ranged from 5 days to 12 months. Results The follow - up study lasted for 2 - 24 months, average 16.3 months. The deformity rectification effects of 30 feet （ 96.8% ） were satisfied, 1 foot remnant deformity and needs operation treatment. Conclusion Ponseti method expectant treatment in disparity degree deformity of congenital clubfoot produces the satisfactory curative effect.