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Treatment of congenital clubfoot using Ponseti method
Alceu José Fornari Gomes Chueire1, Guaracy Carvalho Filho1, Otto Yosuke Kobayashi1
1Department of Orthopedics and Traumatology, Faculdade de Medicina de São José do Rio Preto (Famerp), São José do Rio Preto, SP, Brazil.
Insights
The Ponseti method effectively treats congenital clubfoot in children, with high patient satisfaction and minimal recurrence. This method offers good results and reproducibility for idiopathic congenital clubfoot.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Podiatry
Background:
- Congenital clubfoot is a common birth defect requiring effective treatment.
- The Ponseti method is a widely used non-surgical approach for clubfoot correction.
Purpose of the Study:
- To evaluate the long-term quantitative and qualitative outcomes of the Ponseti method for congenital clubfoot.
- To assess patient satisfaction and functional results following treatment.
Main Methods:
- A cohort of 26 patients (39 feet) with idiopathic congenital clubfoot treated with the Ponseti method was analyzed.
- Follow-up averaged 4.6 years post-Achilles tenotomy.
- Data included epidemiological information, Kite angle radiographic measurements, and Laaveg questionnaire scores.
Main Results:
- One case of recurrence was observed.
- High patient satisfaction was reported, with 96% very satisfied or satisfied.
- 99% experienced no or minimal pain, and 88% reported no activity limitation.
Conclusions:
- The Ponseti method demonstrates effectiveness and good reproducibility for treating idiopathic congenital clubfoot.
- The technique results in favorable outcomes with reduced soft-tissue injury compared to other methods.
Objective:
To quantitatively and qualitatively analyze the results from treatment of congenital clubfoot with a mean follow-up of 4.6 years.
Methods:
26 patients who underwent treatment by means of the Ponseti method were analyzed (total of 39 feet). The mean age at the start of the treatment was 5.65 months. The mean length of the follow-up subsequent to tenotomy of the Achilles tendon was 4.6 years. Patients with secondary clubfoot were excluded. Epidemiological data, radiographic measurements on the Kite angle and data from a satisfaction questionnaire and the Laaveg questionnaire were analyzed.
Results:
Among the 26 patients treated, one presented recurrence of the deformity and had to return to the beginning of the treatment. The mean score from the questionnaire and physical examination was 89.76 points, and this result was considered good. 99% of the patients responded that their feet never hurt or hurt only upon great activity; 88% said that their feet did not limit their activities; and 96% said that they were very satisfied or satisfied with the results from the treatment. The mean Kite angle in anteroposterior view was 28.14° and it was 26.11° in lateral view.
Conclusion:
Treatment for idiopathic congenital clubfoot by means of the Ponseti method brings better results together with less soft-tissue injury, thus confirming the effectiveness and good reproducibility of this method.
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