Abstract：
Congenital talipes equinovarus is one of the most prevalent birth defects, affecting approximately 0.6 to 1.5 children per 1000 live births. Currently, the Ponseti method is the gold-standard treatment for idiopathic clubfeet, with good results reported globally. This literature review focuses on common errors encountered during different stages of the management of idiopathic clubfeet, namely diagnosis, manipulation, serial casting, Achilles tenotomy, and bracing. The purpose is to update clinicians and provide broad guidelines that can be followed to avoid and manage these errors to optimize short- and long-term outcomes of treatment of idiopathic clubfeet using the Ponseti method. A literature search was performed using the following keywords: \"Idiopathic Clubfoot\" (All Fields) AND \"Management\" OR \"Outcomes\" (All Fields). Databases searched included PubMed, EMBASE, Cochrane Library, Google Scholar, and SCOPUS (age range: 0-12 months). A full-text review of these articles was then performed looking for \"complications\" or \"errors\" reported during the treatment process. A total of 61 articles were included in the final review: 28 from PubMed, 8 from EMBASE, 17 from Google Scholar, 2 from Cochrane Library, and 6 from SCOPUS. We then grouped the errors encountered during the treatment process under the different stages of the treatment protocol (diagnosis, manipulation and casting, tenotomy, and bracing) to facilitate discussion and highlight solutions. While the Ponseti method is currently the gold standard in clubfoot treatment, its precise and intensive nature can present clinicians, health care providers, and patients with potential problems if proper diligence and attention to detail is lacking. The purpose of this paper is to highlight common mistakes made throughout the Ponseti treatment protocol from diagnosis to bracing to optimize care for these patients.
摘要：
先天性马蹄内翻足是最常见的出生缺陷之一,影响每1000名活产约0.6至1.5名儿童。目前,Ponseti方法是治疗特发性马蹄内翻足的金标准,在全球范围内报告了良好的结果。这篇文献综述集中在特发性马蹄足治疗不同阶段遇到的常见错误，即诊断，操纵,串行铸造，跟腱切开术,和支撑。目的是更新临床医生并提供可以遵循的广泛指南，以避免和管理这些错误，以优化使用Ponseti方法治疗特发性马蹄足的短期和长期结果。使用以下关键词进行文献检索：“特发性马蹄足”（所有字段）和“管理”或“结果”（所有字段）。搜索的数据库包括PubMed,EMBASE,科克伦图书馆,谷歌学者，和SCOPUS（年龄范围：0-12个月）。然后对这些文章进行全文审查，寻找治疗过程中报告的“并发症”或“错误”。最终审查共有61篇文章：来自PubMed的28篇文章，8来自EMBASE，17来自谷歌学者，2来自Cochrane图书馆，和6来自SCOPUS。然后，我们将治疗过程中遇到的错误分组在治疗方案的不同阶段（诊断，操纵和铸造，肌腱切开术,和支撑)以促进讨论和突出解决方案。虽然Ponseti方法目前是马蹄内翻足治疗的黄金标准，它的精确和密集的性质可以呈现给临床医生，卫生保健提供者,如果缺乏适当的勤奋和对细节的关注，以及有潜在问题的患者。本文的目的是强调从诊断到支撑整个Ponseti治疗方案中的常见错误，以优化对这些患者的护理。
