Proposal of an innovative casting technique for correction of clubfoot according to Ponseti method: a pilot study

被引：2

作者：

Gigante, Cosimo ^{[1
]}

Pedrotti, Luisella ^{[2
]}

Guido, Davide ^{[3
]}

机构：

[1] Padua Hosp, Pediat Orthopaed Unit, Dept Woman & Child Hlth, Padua, Italy

[2] Univ Pavia, Surg Diagnost & Pediat Dept, Musculoskeletal Syst Dis Unit, Clin Sci, Pavia, Italy

[3] IRCCS Fdn, Neurol Inst Carlo Besta, Neurol Publ Hlth & Disabil Unit, Milan, Italy

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2019年 / 28卷 / 03期

关键词：

casting technique; clubfoot; Ponseti method; FOOT; MANAGEMENT;

D O I：

10.1097/BPB.0000000000000539

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A total of 70 clubfeet were treated by a posterior above-knee cast (pressure points on the talus and on the first metatarsal) according to Ponseti method. At diagnosis, average Pirani score was 4.44, and mean time of treatment was 50.32 days. Overall, 27 (38.6%) clubfeet had only conservative treatment (5.29 casts) and 43 (61.4%) also had Achilles tenotomy (6.38 casts). At the end 61/70 feet (87.14%) had Pirani score 0; 10/70 feet (5.71%) had Pirani score 0.5. The Pirani score gain/cast was beta=-0.432 (P<0.001). This new casting technique is safe and effective at avoiding some adverse issues related to the removal of the conventional cast.

引用

页码：242 / 247

页数：6

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