Ponseti法治疗先天性马蹄内翻足疗效分析

[目的]评价采用Ponseti法治疗1岁以内先天性马蹄内翻足的疗效。[方法]2005年4月~2008年10月,本院骨科共收治先天性马蹄内翻足病例125例138足,男98例106足,女27例32足,年龄7 d~12个月。按年龄分为新生儿期(7~28 d)、小婴儿期(29 d~6个月)、婴儿期(6~12个月)三组,均按D im eglio评分系统进行评分,应用Ponseti法(手法矫正+石膏固定+经皮跟腱切断+足外展支具)治疗。[结果]病例随访13~42个月,平均25.3个月。按D im eglio评分系统评价疗效,120例132足矫形效果满意,5例6足残余部分畸形行手术治疗。各年龄组治疗优良率无显著差异(P0.05)。[结论]Ponseti法治疗先天性马蹄内翻足疗效确切,是一种很好的保守治疗方法。对于1岁以内先天性马蹄足均可取得优良效果。

Therapeutic effect of Ponseti method treatment on congenital clubfoot

[Objective]To evaluate the effect of Ponseti method in treating congenital clubfoot(CCF) patients under 1 year old. [Methods]One hundred and twenty-five patients(138 feet) with congenital clubfoot,including 98 males(106 feet),27 females(32 feet),were treated in this hospital from April 2005 to October 2008.The ages of the patients ranged from 7 days to 12 months.According to the ages,all patients were divided into 3 groups,including newborn group(7~28 days),little infant group(29 days~6 months) and infant g...