采用Ponseti矫形治疗27例马蹄内翻足

Correction of congenital club foot by Ponseti method

目的:评价应用Ponseti方法治疗先天性马蹄内翻足的疗效。方法:采用Ponseti方法每周手法矫形治疗3次,共治疗27例34足,其中男性22例,女性5例,单侧20例,双侧7例;开始治疗年龄5d～16个月。结果:经2年5个月(8个月～4年)的随诊,32足基本恢复正常外形;踝关节背屈>10°,高弓消失,踝关节功能正常。2足残余轻度前足内翻,经胫前肌腱外移得到纠正。结论:Ponseti方法是早期治疗先天性马蹄内翻足的有效方法,开始治疗越早,效果越满意。

Objective ： To evaluate the results of Ponseti method for correction of congenital club foot. Methods ： Twentyseven patients （22 males and 5 females） with congenital club foot were treated with Ponseti method from October 2002 to December 2007. Club foot was unilateral and bilateral in 20 and 7 patients, respectively. The average age of patients at the beginning of treatment was 3.87 months （ranging 5 days-16 months）. Results： Thirty-two feet restored their contour with normal function of the ankle. Cavus and more than 10 degrees of dorsiflexion disappeared. Adduction of the forefoot occurred in two feet, which was corrected by transferring the tendon of anterior tibial muscle to the third cuneiform. Conclusion： Ponseti method can effectively treat early club foot.