Early result of Ponseti management of congenital clubfoot

摘要

[Purpose] To evaluate early result and challenges in treating congenital clubfoot by Ponseti method.[Study design] Case series[Method] All congenital clubfeet, idiopathic and pathological, treated according to Ponseti method at the Hospital for Traumatology and Orthopaedics between Feb 2004 and Feb 2007 were recorded. They were classified and evaluated during casting according to DimegHo's scale. [Results] 112 clubfeet of 78 patients(<6 months of age or>6 months of age with adduction & equinus after previous treatment) were treated according to Ponseti method. The successful results of manipulating and casting were in 106(94.6%)clubfeet ; number of casts was 1-10, ave. 4 casts. The complications were slippage of cast, most popular in 19(16.9%)feet and rocker-bottom, most challenged in 2(1.8%)feet. 77 clubfeet of 54 patients were followed up of 3-30months. The early relapses were in ll(14.3%)feet ; all had additional manipulation & casting. [Conclusion] Manipulating and casting according to Ponseti method were effective. Span of time to correct the deformity was short. The complications were due to casting technique.