新型低温热塑石膏改良潘塞缇疗法治疗先天性马蹄内翻足畸形

The Meliorated Ponseti Therapy with a New Type of Low Temperature Thermoplastic Gypsum for the Congenital Clubfoot

目的探讨应用新型低温热塑石膏改良潘塞缇疗法治疗先天性马蹄内翻足畸形的可行性和效果。方法应用新型低温热塑石膏改良潘塞缇疗法治疗先天性马蹄内翻足畸形28例39足,观察治疗时间、治疗效果、治疗前后Dimegllio评分和Pirani评分、治疗并发症等。结果手法及"石膏"固定时间平均为11周。30足获得满意矫正,9足获得基本矫正。治疗前后Dimegllio评分分别为(16.62±3.51)、(2.47±0.35)分。治疗前后Pirani评分分别为(4.58±1.36)、(0.88±0.63)分。治疗过程中出现"石膏"松动3次、皮肤压疮2例、皮肤湿疹搔痒3例,均通过相应处理后好转。结论新型低温热塑石膏改良潘塞缇疗法治疗先天性马蹄内翻足畸形具有简单易学、并发症少、费用低等优点。

Objective To explore the feasibility and effect of the meliorated Ponseti therapy with a new type of low temperature thermoplastic gypsum for the congenital clubfoot deformity. Methods 28 cases 39 feet of congenital clubfoot deformity were treated with the meliorated Ponseti therapy with a new type of low temperature thermoplastic gypsum. The effect along with the time it took for the treatment, the Dimegllio score and the Pirani score before and after the treatment, the complications such as plaster loosening, skin eczema, pressure ulcer, etc, were recorded. Results The average time of manual reduction and ＂Plaster＂ fixation were for 11 weeks. 30 feet show satisfactory correction and 9 feet basic correction. The Dimegllio scores before and after the treatment was 16.62 ± 3.51 vs 2.47 ±0.35 each, respectively. The Pirani score before and after the treatment was 4.58 ±1.36 vs 0.88 ±0.63 each, respectively. 3 times of ＂Plaster＂ loosening, 2 pressure ulcers,3 cases Itching of skin eczema occurred, and all the complications mended after a corresponding management. Conclusion It has advantages such as simple and easy to learn, fewer complications and low cost to use the meliorated Ponseti therapy with the new type of low temperature thermoplastic gypsum for the congenital clubfoot deformity