Ponseti方法治疗先天性马蹄内翻足研究进展

Research Progress of Ponseti Method in Treating Congenital Clubfoot

先天性马蹄内翻足,是新生儿最常见的下肢畸形之一,几个世纪以来,其发病的确切病因仍然不清楚,但是遗传因素和环境因素被认为在发病机制中起作用。其发病特点是三维畸形,包括前足内收、中足形成空腔、后足内翻和脚踝呈马蹄状。如果没有适当的治疗,先天性马蹄内翻足的儿童将永远无法在生理上行走,从而对生活质量产生重大影响。如今Ponseti方法治疗马蹄内翻足畸形被儿童矫形外科医生广泛采用,Ponseti方法不仅是一种实现先天性马蹄内翻足初始矫正的技术,而且是一种处理许多患者不可避免的复发的技术。本综述旨在总结Ponseti方法在先天性及复发性马蹄内翻足治疗中的应用及相关困难之处,以期为今后更加细节化的治疗提供参考。

Congenital talipes equinovarus is one of the most common lower extremity malformations in neonates.For centuries,the exact etiology of the disease has remained unknown,but genetic and environmental factors are thought to play a role in the pathogenesis.It is characterized by a three-dimensional deformity,including forefoot adduction,cavity formation in the midfoot,posterior varus,and a horseshoe-shaped ankle.Without proper treatment,children with congenital talipes equinovarus will never be able to walk physiologically,with significant implications for quality of life.Nowadays,Ponseti method is widely used by pediatric orthopedic surgeons to treat talipes equinovarus.Ponseti method is not only a technique to achieve initial correction of congenital talipes equinovarus,but also a technique to deal with the inevitable recurrence of many patients.This review aims to summarize the application of the Ponseti method in the treatment of congenital and recurrent talipes equinovarus and the related difficulties,in order to provide reference for more detailed treatment in the future.