Treatment of Clubfoot with the Ponseti Method: Should We Begin Casting in the Newborn Period or Later?

Congenital Clubfoot in Children After Walking Age: Management and Evaluation of 41 Feet with the Dimeglio Score

“…Comparing our results obtained in children over 1.5 years with the previously published data considering the newborns, a slightly better post-operative Dimeglio score can be observed in the second category, from 3.80 to 0.6-2.4, respectively [15][16][17].…”

Comparison of the short-term and long-term results of the Ponseti method in the treatment of idiopathic pes equinovarus

“…Iltar et al [13] have found that at the beginning of treatment male patients had more severe deformities than did female patients, as measured by Diméglio scores. However, final Diméglio scores for both sexes were comparable.…”

“…We have not observed any defects in the healing of the Achilles tendon: the palpable rigid band of the tendon appeared already three weeks after tenotomy, suggesting its successful regeneration. Despite the knowledge of some rare complications [12], Achilles tenotomy should be taken as a more conservative method than trying to aggressively treat with casts [13]. We are convinced, therefore, that the complex treatment of this defect requires not only exact knowledge of the conservative approach but also the set of different surgical interventions, like dorsal and peritalar release, osteotomy of the hindfoot and forefoot as well as supramalleolar osteotomy, particularly in the treatment of neurogenic club feet, where the per cent of relapses is much higher.…”

Doğuştan çarpık ayak – Ponseti sonrası gelişmeler

“…[3][4][5][6] 2011 yılında yapılan bir derlemede, Ponseti yönteminin mevcut yöntemler içinde en başarılı tedavi rejimi olduğu ve ilk düzeltme hızının %90'lara ulaştığı rapor edilmiştir. [20] Anahtar sözcükler: PEV; perkutan aşilotomi; tendon transferi; breys Treatment of congenital clubfoot has changed radically with the introduction of Ponseti method in most of the pediatric orthopedic centers worldwide during the last 15 to 20 years. Ponseti first described his treatment regime including abduction bracing and tibialis anterior tendon transfer for the treatment of relapse in 1963, [1] and published a further detailed description in 1972.…”

“…[19] 2010 yı-lında yapılan bir çalışmada, başlamanın, ilk dört hafta sonrasına ve ayak büyüklüğünün en az 8 cm oluncaya kadar ertelenmesi gerektiği önerilmiştir. [20] Ancak, bu konudaki genel kabul görmüş yaklaşımın, alçılamaya ilk bir ay içinde başlanması olduğuna dair literatür çoğunluktadır. [21] Esas olan, çocuğun, özellikle de prematür bebeklerin stabil hale gelmesi ve ailenin çocuğu düzenli olarak haftalık kontrollere getirebilmesidir.…”