论文部分内容阅读
目的 评价早期应用手法矫正系列石膏固定 (Ponseti方法 )治疗先天性马蹄内翻足的效果。方法 从 1997年 5月～ 2 0 0 1年 12月保守治疗出生后 3个月内的先天性马蹄内翻足 2 2例共30个足。患儿的平均年龄为生后第 2 3d ,方法采用Ponseti的手法矫正和连续长腿石膏固定 ,每周更换石膏一次。在石膏固定结束后 ,患儿穿戴矫形支具至少 1年。结果 本组平均治疗时间 10 .5周 ,平均随访 2年 4个月。 2 7个足 (90 % )的畸形获得满意矫正 ,3个足因支具穿戴欠配合 ,随访时仍有残余畸形 ,需广泛软组织松解术矫正。结论 Ponseti的“旋后外展”手法矫正方法和连续长腿石膏固定 ,可使不同畸形程度的先天性马蹄内翻足在早期获得充分的矫正 ,石膏固定结束后应佩戴矫形支具至少 1年 ,以防畸形复发。
Objective To evaluate the effect of early application of orthodontic treatment of congenital clubfoot by Ponseti method. Methods From May 1997 to December 2001 conservative treatment of 3 months after birth, congenital clubfoot twenty-two cases of a total of 30 feet. The average age of children was 2 days after birth, the method used Ponseti method to correct and continuous long leg plaster fixation, gypsum once a week. Children wear orthopedic braces for at least 1 year after plaster fixation. Results The average treatment time in this group was 10.5 weeks, with an average follow-up of 2 years and 4 months. 2 7 feet (90%) of the deformity were satisfactorily corrected, 3 feet due to brace wear, with residual deformity after follow-up, extensive soft tissue release correction required. Conclusions Ponseti’s “circumflex circumcision” method and continuous long leg plaster fixation can make congenital clubfoot of different deformities obtain adequate correction in the early stage. After orthopedic fixation, the orthopedic brace should be worn for at least one year , To prevent recurrence of deformity.