Tratamento do pé torto congênito idiopático pelo método de Ponseti: 10 anos de experiência

Objective: To analyze the profiles of the individuals who access the website regarding congenital clubfoot (CC) information and the first ten years of Ponseti method implementation in Brazil. Methods: This is a retrospective documentary study, with quantitative database analysis, from 2002 to 2012. Parents or caregivers completed a semi-structured questionnaire regarding the main difficulties encountered, the search for different professionals in the area, and what were the main questions the reader might have when searching on a technical website. Results: In total, 94% of participants had a family member or acquaintance with CC, most participants were women (74%), higher education level (40%), married (75%), income above one minimum wage (80%), working in administrative positions (21%,) and living in the urban area (99%). Of the participants, 44% sought three or more physicians at the beginning of treatment, and an average of 77% of the participants used health insurance or a private physician. Conclusion: The participants’ profile regarding CC is composed of women, married, living in urban areas, predominantly from Southeastern Brazil, higher education level, with income above 1.5 minimum wages, and who were treating their children with a private physician. Level of Evidence II, Retrospective study.

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“…However; internet is increasing as a secondary source, and fewer patients rely on friends, family, journals, radio, or television. ( 15 …”

Section: Discussionmentioning

confidence: 99%

Ponseti Method in Brazil: First Ten Years of a Clubfoot Website - Users Profile

Forte

Nogueira

2020

Acta ortop. bras.

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“…Studies of this method emphasize that the period during which the abduction appliance is used is a very important step for maintaining the correction of the deformities. 1 , 10 , 13 , 19 Correction of the sagittal plane in CCF can be maintained by connecting the feet horizontally with a metal bar and positioning them at the desired angles in fixed bases. 11…”

Section: Discussionmentioning

confidence: 99%

“…All the cases of idiopathic CCF were classified according to the simplified Dimeglio method 1 , 2 before the beginning of treatment. ( Tables 1 and 2 , Figure 3 )…”

Section: Methodsmentioning

confidence: 99%

“…The distance between the feet should be the same as the distance between the child’s shoulders. 1 , 3 , 7 , 13 , 19 This group was composed of 16 patients totaling 24 idiopathic congenital clubfeet; 12 patients were male and four were female. As for laterality and affected side, eight feet were unilateral and eight were bilateral, 11 left feet and 13 right feet.…”

Section: Methodsmentioning

confidence: 99%

“…Idiopathic congenital clubfoot (CCF) is the principal malformation of the musculoskeletal system, affecting one to two infants per 1000 live births. 1 - 5 Affected children are born with feet with the following deformities: equinus, varus, adduct, cavus, and supinus. 1 - 3 , 6 - 9 …”

Section: Introductionmentioning

confidence: 99%

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Comparison Between Two Types of Abduction Orthotics in Treating Congenital Clubfoot

et al. 2017

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Objective: The objective of this study was to analyze and compare the effectiveness of two types of abduction orthotics used for the feet, the Denis-Browne type (traditional) and the Dobbs type (dynamic), with regard to maintenance of deformity correction and prevention of recurrence . Method: In this comparative retrospective case study, information was collected from the medical records of children with idiopathic congenital clubfoot (CCF). We evaluated a total of 43 feet in 28 patients, which were divided into two groups. Group 1 was comprised of 16 patients with a total of 24 CCFs treated with the traditional orthotic device. Group 2 consisted of 12 patients with a total of 19 CCFs treated with the dynamic orthotic device. The statistical analysis used the ANOVA test to compare the categorical variables between the groups. A significance level of 5% was adopted (p-value≤0.05) . Results: In Group 1, recurrence was observed in 2 feet (8.33%), and in 1 foot in Group 2 (5.26%). No significant difference in effectiveness was seen between the two types of orthotic devices . Conclusion: Both abduction devices were seen to be effective in maintaining correction of congenital clubfoot deformities. There was no statistical significance between type of orthotic device and recurrence. Level of Evidence III, Retrospective Comparative Study.

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Long-term outcomes of the Ponseti method for treatment of clubfoot: a systematic review

Rastogi

Agarwal

2021

International Orthopaedics (SICOT)

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Tratamento do pé torto congênito idiopático pelo método de Ponseti: 10 anos de experiência

Cited by 13 publications

References 24 publications

Ponseti Method in Brazil: First Ten Years of a Clubfoot Website - Users Profile

Ponseti Method in Brazil: First Ten Years of a Clubfoot Website - Users Profile

Comparison Between Two Types of Abduction Orthotics in Treating Congenital Clubfoot

Long-term outcomes of the Ponseti method for treatment of clubfoot: a systematic review

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