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Fırat Tıp Dergisi
2008, Cilt 13, Sayı 2, Sayfa(lar) 116-119
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Our Treatment Results of Congenital Clubfoot with the Ponseti Method
Tahir VAROL, Lokman KARAKURT, Oktay BELHAN, H. Bayram TOSUN
Fırat Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, ELAZIĞ

Objectives: We evaluated results of the Ponseti method in patients with congenital clubfoot deformity.

Material and Methods: The study included 18 feet of 12 patients (8 boys, 4 girls; mean age was 5 days) with idiopathic clubfoot deformities. According to the Dimeglio classification, 10 feet (55.5%) were type 2, 8 feet (44.5%) were type 3. We did manipulation and casting with the Ponseti technique in all the patients. All of the patients underwent a percutaneous Achilles tenotomy for equinus deformity. Foot abduction brace was prescribed for maintenance of reduction. The mean follow-up period was 21 months (range 6-48 months).

Results: At latest follow-up, 17 feet (94.4%) were Dimeglio type 1, 1 foot (5.6%) was Dimeglio type 2. We determined relapses in 13 feet of 10 patients. Seven of the 10 patients that we determined relapses had problems of using the abduction brace. Our revision rate was 11.1%; a foot required posteromedial release and another foot required complet subtalar release. These two patients were noncompliant with foot abduction brace.

Conclusion: The Ponseti method is an effective method of treating congenital idiopathic clubfoot. The technique must be applied completely to obtain successful result and families must be educated to enhance the compliance to foot abduction brace.©2008, Firat University, Medical Faculty.


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