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Fırat Tıp Dergisi
2012, Cilt 17, Sayı 2, Sayfa(lar) 084-088
[ Turkish ] [ Tam Metin ] [ PDF ]
Early Results of Congenital Clubfoot Treatment With Ponseti Method
Sinan ZEHİR1, Serkan SİPAHİOĞLU2, Mehmet Akif ALTAY2, Cemil ERTÜRK2, Ali BİLGE2, Uğur Erdem IŞIKAN2
1Sağlık Bakanlığı Şanlıurfa Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Şanlıurfa, Türkiye
2Harran Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Şanlıurfa, Türkiye

Objective: The purpose of this study is to evaluate early results of ponseti method for the treatment of congenital club foot.

Materials and Methods: A total of 27 patients' (38 clubfeet,17 boys, 10 girls; mean age 12 day) were treated by Ponseti method during the periot of 2009 to 2010 years. Eleven patients had bilateral and 16 pateints had unilateral clubfoot. Patients,which were treated by another medical center or had any concomitant illness ,were not included into this study. Some patients were excluded from this study, because they left the treatment or they did not use their splint. Mean follow up period was 14 months (12-17 months). We have performed percutenous achilles tenotomy in all patients.

Results: Clinically we achieved exellent results in the patients whose method was performed properly.The radiological evaluation of these patients were also satisfactory. Poor compliance with the splint and or improper method of surgery were the main problems in these patients.

Conclusion: Correct applying the Ponseti method, carefully following up the patients with frequent periods, education problems of patients' parents and orthotists, lack of understanding and poor compliance of patients' parents can all affect a successful outcome.


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