EVALUATION OF EARLY TREATMENT OF IDIOPATHIC CLUBFOOT USING THE PONSETI METHOD
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Published on: January 24, 2018
Caio Luiz DE Toledo Oliveira1, Geraldo Mota Gonçalves2, José Batista Volpon1
1Universidade de Sao Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Insights
The Ponseti method for treating congenital clubfoot shows good clinical outcomes, with 46% of patients achieving excellent results and no families reporting dissatisfaction. This effective treatment for clubfoot is widely adopted globally.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Congenital Deformities
Background:
- Congenital clubfoot is a common lower limb deformity with an incidence of 1 in 1,000 live births.
- Traditional surgical interventions for clubfoot are increasingly being replaced by the Ponseti method.
- The Ponseti method, utilized in over 55 countries, demonstrates promising results in correcting clubfoot deformities.
Purpose of the Study:
- To assess the clinical effectiveness of the Ponseti method for congenital clubfoot treatment in a local context.
- To evaluate patient outcomes and family satisfaction with the Ponseti method.
- To analyze epidemiological data related to clubfoot treatment.
Main Methods:
- Clinical evaluation of patients undergoing treatment for congenital clubfoot.
- Descriptive analysis of the patient sample.
- Radiographic assessment and family satisfaction surveys were integral to the evaluation.
Main Results:
- A significant 46% of patients achieved good treatment outcomes.
- No instances of family dissatisfaction with the treatment results were reported.
- No statistically significant relationships were identified between the variables studied.
Conclusions:
- The Ponseti method yields favorable clinical outcomes for congenital clubfoot, consistent with international findings.
- Local epidemiological data align with previously reported data from other studies.
- The Ponseti method represents an effective, non-surgical approach for clubfoot management.
Abstract:
Congenital clubfoot is one of the most common congenital deformities of the lower limbs, with an estimated incidence of 1 for every 1,000 live births. Its treatment is controversial, and currently the Ponseti method has been widespread, showing promising results and decreasing the need for extensive surgical releases, as was usually done until the introduction of the technique. Currently used in approximately 55 countries, the method has changes and scopes that vary according to the society in which it is applied, with the results and peculiarities of the method molded according to the sample studied.
Objective:
To evaluate the clinical outcome of clubfoot treatment using the Ponseti method under local conditions.
Methods:
The clinical evaluation will include a descriptive analysis of the sample, as well as radiographic evaluation and family satisfaction with the treatment.
Results:
In total, 46% of the patients had good results and no family was dissatisfied with the treatment results. No statistically relevant relationships were found between the studied variables.
Conclusion:
The results are good and generally similar to those in the literature. Our epidemiological data generally agree with those reported by other authors.
