MANAGEMENT OF ATYPICAL CLUBFOOT BY PONSETI METHOD

V. F. Blandinsky; Бландинский В. Ф.; M. A. Vavilov; Вавилов М. А.; T. E. Torno; Торно Т. Э.; A. V. Donskoy; Донской А. В.

doi:10.21823/2311-2905-2010-0-1-75-79

MANAGEMENT OF ATYPICAL CLUBFOOT BY PONSETI METHOD

作者: Blandinsky V.F.¹, Vavilov M.A.², Torno T.E.¹, Donskoy A.V.¹
隶属关系:
1. ГОУ ВПО «Ярославская государственная медицинская академия»
2. ГУЗ ЯО «Областная детская клиническая больница»
期: 卷 16, 编号 1 (2010)
页面: 75-79
栏目: Experience exchange
##submission.dateSubmitted##: 13.11.2016
##submission.dateAccepted##: 13.11.2016
##submission.datePublished##: 12.05.2010
URL: https://journal.rniito.org/jour/article/view/491
DOI: https://doi.org/10.21823/2311-2905-2010-0-1-75-79
ID: 491

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From May 2006 to August 2009 analyzed 28 clinical observations (34 feet) for children aged from 7 days to 1.5 years with severe atypical congenital clubfoot (Pirani 5,6 points), treated by the method of I. Ponseti. The average number of gypsum one foot to the full correction was - 6.3. It was written 38 achillotomy. Dates from the beginning of gypsum to achillotomy averaged - 34 days. All of the children undergoing treatment with us after the removal of plaster, dressed brace, fixing the foot fixed in position 45° abduction and 15° of flexion of the back and encouraged them to carry up to 3-4 years. All the children in this group achieved a complete correction of foot deformities without performing tenoligamentocapsulotomy. Results of treatment were evaluated according to the classification C. Pirani. Average score was 1.1 points. Follow-up was an average of 1 year 35 days.

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atypical congenital clubfoot, I. Ponseti method

参考

Виленский В.Я. Новое в консервативном лечении врожденной косолапости/В.Я. Виленский//Стопа и вопросы построения рациональной обуви. -М., 1980. -С. 109-112.
Волков С.Е. Дифференциальная диагностика и раннее комплексное лечение врожденных деформаций стоп у детей: автореф. дис. … д-ра мед наук/С.Е. Волков. -М., 1999. -34 с.
Кузнечихин Е.П. Хирургическое лечение детей с заболеваниями и деформациями опорно-двигательной системы: руководство для врачей/Е.П. Кузнечихин, Э.В. Ульрих. -М.: Медицина, 2004. -479 с.
Hattori T. Effect of the Denis Browne splint in conservative treatment of congenital club foot/T. Hattori, Y. Ono, T. Kitakoji//J. Pediatr. Orthop. -2003. -Vol. 12-В. -P. 59-62.
Lovell W.W. The nonoperative management of the congenital clubfoot/W.W. Lovell, T. Bailey, C.T. Price//Orthop. Rev. -1979. -Vol. 8. -P. 113-115.
Morcuende J.A. Plaster cast treatment of clubfoot: the Ponseti method of manipulation and casting/S. Weinstein, F. Dietz//J. Paediatr. Orthop. -1994. -Vol. 3. -P. 161.
Ponseti I.V. Congenital clubfoot. Fundamentals of treatment./I.V. Ponseti -N.Y.: Oxford University Press, 2000.

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MANAGEMENT OF ATYPICAL CLUBFOOT BY PONSETI METHOD

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V. Blandinsky

M. Vavilov

T. Torno

A. Donskoy

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