Artículos de revistas
Results of Ponseti Brasil Program: Multicentric Study in 1621 Feet: Preliminary Results
Fecha
2017-01-01Registro en:
Journal of Pediatric Orthopaedics, v. 37, n. 3, p. e197-e201, 2017.
1539-2570
0271-6798
10.1097/BPO.0000000000000801
2-s2.0-84973569765
Autor
State Hospital of Sao Paulo (HSPE)
Associaton for Care of Desabled Children (AACD)
Universidade de São Paulo (USP)
Parque das Universidades-Campinas
Vivendas Clinic
Child Municipal Hospital
Universidade Estadual Paulista (Unesp)
Association for Disabled People of Alagoas ADEFAL
Universidade Estadual de Londrina (UEL)
Orthopedic Hospital of Londrina
Neuro-orthopedic Institute
Orthopedics and Trauma Institute
Santo Antonio Hospital Sister Dulce
Mineiro Orthopedic Institute
Universidade Federal de Uberlândia (UFU)
University Hospital of Federal University of Maranhão (HUUFMA)
Clinical Fracture Center of Children's Rehabilitation (CRI)
São Zacharias Hospital
Federal University of Paraiba
Children State Hospital Nossa Senhora da Gloria
University of Iowa
Institución
Resumen
Background: The Ponseti method has been shown to be the most effective treatment for congenital clubfoot. The current challenge is to establish sustainable national clubfoot treatment programs that utilize the Ponseti method and integrate it within a nation's governmental health system. The Brazilian Ponseti Program (Programa Ponseti Brasil) has increased awareness of the utility of the Ponseti method and has trained >500 Brazilian orthopaedic surgeons in it. Methods: A group of 18 of those surgeons had been able to reproduce the Ponseti clubfoot treatment, and compiled their initial results through structured spreadsheet. Results: The study compiled 1040 patients for a total of 1621 feet. The average follow-up time was 2.3 years with an average correction time of approximately 3 months. Patients required an average of 6.40 casts to achieve correction. Conclusions: This study demonstrates that good initial correction rates are reproducible after training; from 1040 patients only 1.4% required a posteromedial release. Level of Evidence: Level IV.