Pie equino varo congénito no tratado en el paciente escolar, adolescente y adulto. Revisión de conceptos actuales

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2021-04-01 DOI:10.1016/j.rccot.2020.12.002

Diego Fernando Ortiz–Montoya , Augusto Posada , Maria del Pilar Quesada-Aguilar , Julio Ricardo García , Jose Antonio Morcuende , Monica Paschoal Nogueira

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引用次数: 1

Abstract

In the last decades, Ponseti's Method (PM) has become the gold standard for the treatment of clubfoot. Although in the new born patients is indisputable, the implementation of this method in older patients has been slower due to the small amount of protocols that supports it and the difficulty of follow ups, which limits a timely treatment, creating in addition to the deformity and the limitation in the gait, extensive areas of pressure that makes their treatment more difficult. Therefore, in this revision the intention is to display the importance of this method for the non treated clubfoot in patients of walking age, as it's definitive treatment, or alternatively, as part of it's treatment, and in the future of PM making it accessible to all new borns, avoiding the need to perform such technique for the treatment of this pathology in older patients.

Evidence Level: IV.

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在学校、青少年和成人患者中未治疗的先天性外翻马脚。回顾当前的概念

在过去的几十年里，庞塞蒂的方法(PM)已经成为治疗畸形足的黄金标准。尽管在新生儿患者中，这种方法的实施是无可争议的，但在老年患者中，由于支持该方法的协议数量少，随访困难，这限制了及时治疗，除了造成畸形和步态限制外，大面积的压力使其治疗更加困难。因此，在本次修订中，目的是展示该方法对于行走年龄的未治疗的内翻足患者的重要性，作为其最终治疗方法，或者作为其治疗的一部分，并在PM的未来使其适用于所有新生儿，避免需要在老年患者中执行这种技术来治疗这种病理。证据等级:四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista Colombiana de Ortopedia y Traumatología

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