Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Mid-term results of ponseti method for the treatment of congenital idiopathic clubfoot (A study of 67 clubfeet with mean five year follow-up) | Porecha et al. Journal of Orthopaedic Surgery and Research 2011 6 3 http content 6 1 3 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access Mid-term results of ponseti method for the treatment of congenital idiopathic clubfoot - A study of 67 clubfeet with mean five year follow-up Milind M Porecha1 Dipak S Parmar2 Hiral R Chavda3 Abstract Background Long-term success reports by Dr. Ponseti with the Ponseti method in the treatment of congenital idiopathic clubfoot have led to a renewed interest in this method among pediatric orthopedists. The purpose of this study is to evaluate mid-term effectiveness of Ponseti method for the treatment of congenital idiopathic clubfoot. Material and Methods A total of 49 patients 67 clubfeet were treated by Ponseti method by single orthopedic surgeon during the period of October 03 to July 07 and were studied prospectively up to July 10 mean follow up period 5 years minimum follow-up period of 3 years . Age at the initiation of the treatment gender bilaterality severity of the initial clubfoot deformity measured by Pirani Severity Score System total numbers of Ponseti casts before the tenotomy details of tenotomy compliance with brace and CTEV shoes were examined. Passive range of movements and look of club foot are evaluated with mean 5 years follow-up. Results We followed the functional Ponseti Scoring System and got good to excellent results in 44 patients 58 clubfeet - at mean five year of follow up. Parents of 32 patients accept the look of the clubfoot nearly normal and parents of 12 patients accept the look of clubfoot as normal. Of the 49 patients who responded to initial Ponseti casting 14 patients - 19 clubfeet - had relapse at varying age out of which 9 patients - 10 clubfeet - were corrected by Ponseti casting method while 5 patients - 9 clubfeet - were resistant to Ponseti method. Poor compliance with the Denis Browne .
