Ponseti方法矫正马蹄内翻足动态分析

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Abstract Objective To analyze the dynamic process of Ponseti management for clubfoot deformity，and clarify the details of each cast for deformity component.Methods The medical records were retrospectively reviewed from our database to identify patients with idiopathic clubfeet treated during the period between October 2007 and December 2012.78 cases (115 feet) managed using Ponseti method were included in the present study.We observed the changes of each component angle along with cast number increased and analyzed the dynamic process of Ponseti method.One-way ANOVA was applied for the statistical analysis for correction ability of each cast，and a p value below 0.05 was considered statistically significant.Results The first cast was better than other casts and PAT procedure in the correction of cavus，adductus，and varus；and there was statistical difference in cavus(P<0.05).Equinus deformity was corrected mainly by PAT procedure (22.57±13.53) °，and also large correction ability for the first cast (about 14.37±15.92) °.The correction of each component was a simultaneous and gradual process.However，various casts or PAT procedure contributed differently to the deformity correction.The first cast was important in the correction of cavus，adductus，and varus；while，equinus was corrected mainly by PAT procedure and the first cast.Conclusion The process of Ponseti management for clubfoot is corrected simultaneously and gradually，and the first cast has an important role in the process of deformity correction.It is suggested that the importance of the first cast should be fully considered in clinical practice.

Key words： clubfoot deformity correction dynamic process core principle

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［1］Zhao D，Liu J，Zhao L，et al.Relapse of clubfoot after treatment with the Ponseti method and the function of the foot abduction orthosis［J］.Clin Orthop Surg，2014，6(3)：245-252.
［2］Zhao D，Li H，Zhao L，et al.Results of clubfoot management using the Ponseti method：do the details matter? A systematic review［J］.Clin Orthop Relat Res，2014，472(4)：1329-1336.
［3］Ponseti IV，Smoley EN.The classic：congenital club foot：the results of treatment.1963［J］.Clin Orthop Relat Res，2009，467(5)：1133-1145.
［4］Morcuende JA，Dolan LA，Dietz FR，et al.Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method［J］.Pediatrics，2004，113(2)：376-380.
［5］Cooper DM，Dietz FR.Treatment of idiopathic clubfoot.A thirty-year follow-up note［J］.J Bone Joint Surg(Am)，1995，77(10)：1477-1489.
［6］徐军奎，屈福锋，赵炼，等.儿童马蹄内翻足矫形术后畸形复发个体化治疗方案的疗效评价［J］.实用骨科杂志，2018，24(4)：318-323.
［7］Ponseti IV.Congenital clubfoot：fundamentals of treatment［M］.New York：Oxford University Press，1996：37-49.
［8］Pirani S，Zeznik L，Hodges D.Magnetic resonance imaging study of the congenital clubfoot treated with the Ponseti method［J］.J Pediatr Orthop，2001，21(6)：719-726.
［9］Lampasi M，Trisolino G，Abati CN，et al.Evolution of clubfoot deformity and muscle abnormality in the Ponseti method：evaluation with the Dimeglio score［J］.Int Orthop，2016，40(10)：2199-2205.
［10］Chaudhry S，Chu A，Labar AS，et al.Progression of idiopathic clubfoot correction using the Ponseti method［J］.J Pediatr Orthop B，2012，21(1)：73-78.
［11］Hosseinzadeh P，Peterson ED，Walker J，et al.Residual forefoot deformity predicts the need for future surgery in clubfeet treated by Ponseti casting［J］.J Pediatr Orthop B，2016，25(2)：96-98.
［12］Bensahela H，Kuo K，Duhaime M.Outcome evaluation of the treatment of clubfoot：the international language of clubfoot［J］.J Pediatr Orthop B，2003，12(4)：269-271.
［13］Liu YB，Li SJ，Zhao L，et al.Timing for Ponseti clubfoot management：does the age matter? 90 children(131 feet)with a mean follow-up of 5 years［J］.Acta Orthop，2018，89(6)：662-667.
［14］Liu YB，Jiang SY，Zhao L，et al.Functional assessment of the foot undergoing percutaneous achilles tenotomy in term of gait analysis［J］.Biomed Res Int，2016(2016)：1973403.
［15］Liu Y，Zhao D，Zhao L，et al.Congenital clubfoot：early recognition and conservative management for preventing late disabilities［J］.Indian J Pediatr，2016，83(11)：1266-1274.
［16］Sangiorgio SN，Ebramzadeh E，Morgan RD，et al.The timing and relevance of relapsed deformity in patients with ldiopathic clubfoot［J］.J Am Acad Orthop Surg，2017，25(3)：195-203.
［17］Maranho DA，Leonardo FH，Herrero CF，et al.The quality of Achilles tendon repair five to eight years after percutaneous tenotomy in the treatment of clubfoot：clinical and ultrasonographic findings［J］.Bone Joint J，2017，99(1)：139-144.
［18］Ponseti IV.Clubfoot management［J］.J Pediatr Orthop，2000，20(6)：699-700.