Ponseti方法治疗畸胎型马蹄内翻足.pdfVIP

426· 军 医 进 修 学 院 学 报 2007 D · Acad J PLA Post~rad Med Sch ‘uV，L，c ‘ec．28(6) Ponseti方法治疗畸胎型马蹄内翻足 许瑞江，李浩宇，聂少波 (解放军总医院JD~b科，北京 100853) [摘要] 目的：报告Ponseti方法治疗畸胎型马蹄内翻足的初步效果。方法：采用每周2～3次手法矫正的 Ponseti方法治疗畸胎型马蹄内翻足16例25只足，其中男性9例，女性7例；左侧5例，右侧2例，双侧9例；治疗时 年龄平均3个月(7 d～18个月)。结果：手法矫正及石膏固定平均10次(7～14次)后，25足均由僵硬性转变为柔 软性。经平均1年(3个月～3年)的随访，22足外形正常，踝关节的背伸及跖屈功能正常，1只足跖屈畸形复发， 2只足改为手术治疗。结论：增加手法矫正次数的Ponseti方法是治疗畸胎型马蹄内翻足的有效方法之一。 [关键词]畸形足；Ponseti方法；治疗 [中图分类号]R 681 [文献标识码]A [文章编号]1005．1139(2007)06-0426-02 Ponseti method for teratologic clubfoot XU Rui-jiang，LI Hao-yu，NIE Shao-bo(Department of Pediatric Surgery，P General Hospital，BeOing 100853，China) [ABSTRACT] 0bjective：To describe the primary results of Ponseti method for teratologic clubfoot．Methods：Sixteen pa． tients with 25 teratologic clubfeet were treated by the Ponseti method with 2～3 times weekly from 2003．1 to 2006．1 2．Nine pa- tients were male and seven were female The left foot was 5，the fight 2 and the bilateral 9 The average age at the time of the Ponseti method was 3 months with a range of 7 days to 1 8 months．Results：Stiff foot got ductility in 25 feet after the tenth(ran． ging 7 to 14 times)treatment of Ponseti method．At an average of one year with a range of 3months to 3 yeam，the contour of foot was satisfactory in 22 feet．The extension and flexion of the ankle got norma1．Equinus got recurrence in one foot．Sur~cal release was done in 2 feet．Conclusion：The Ponseti method with increasing times weekly is one of satisfactory methods for teratologic clubfoot． [KEY WORDS]teratologic clubfoot；Ponseti method；treatment 随着Ponseti方法治疗先天性马蹄内翻足的开 不全束带。手法矫正及石膏固定治疗每周2～3次， 展，其治疗效果已得到共识，但对于畸胎型马蹄内翻 平均治疗10(7～14)次。