PDF(Pubmed)
Abstract：
UNASSIGNED: Idiopathic clubfoot occurs commonly in children with a prevalence of 1 in 1000. The Pirani scoring system, which consists of a midfoot contracture score and hindfoot contracture score, is traditionally used in assessing the severity of clubfoot deformity. Ponseti protocol is used in the management of clubfoot deformity. The study aimed to evaluate the outcome of the management of clubfoot using the Ponseti protocol and to correlate the outcome with the initial Pirani score.
UNASSIGNED: Eighty-two children aged 1 week-2 years with 128 idiopathic clubfeet were recruited into the study. The severity of their clubfoot deformities was scored using the Pirani scoring system on recruitment. They were managed with weekly serial manipulation and cast application with or without tendon-Achilles tenotomy according to Ponseti protocol.
UNASSIGNED: The average initial Pirani score was 3.6 ± 0.9. The average number of casts used was 5.9 ± 1.3 (range: 4-9 casts). Tenotomy was done in 51.56% of the feet. The group that required tenotomy required more casts and as such longer duration of treatment than the \"no tenotomy\" group. There was a relapse rate of 2% in the feet of the compliant group, whereas the relapse rate was 69% in the group that was not compliant with the use of foot-abduction brace. The success rate at 6 months follow-up was 84.4%.
UNASSIGNED: Ponseti protocol is an excellent method of management of idiopathic clubfoot, and the Pirani scoring system was useful in assessing the initial severity and the outcome. The initial Pirani score correlates with the duration of treatment.
UNASSIGNED: Eighty-two children aged 1 week-2 years with 128 idiopathic clubfeet were recruited into the study. The severity of their clubfoot deformities was scored using the Pirani scoring system on recruitment. They were managed with weekly serial manipulation and cast application with or without tendon-Achilles tenotomy according to Ponseti protocol.
UNASSIGNED: The average initial Pirani score was 3.6 ± 0.9. The average number of casts used was 5.9 ± 1.3 (range: 4-9 casts). Tenotomy was done in 51.56% of the feet. The group that required tenotomy required more casts and as such longer duration of treatment than the \"no tenotomy\" group. There was a relapse rate of 2% in the feet of the compliant group, whereas the relapse rate was 69% in the group that was not compliant with the use of foot-abduction brace. The success rate at 6 months follow-up was 84.4%.
UNASSIGNED: Ponseti protocol is an excellent method of management of idiopathic clubfoot, and the Pirani scoring system was useful in assessing the initial severity and the outcome. The initial Pirani score correlates with the duration of treatment.
摘要：
■特发性马蹄内翻足常见于1/1000的儿童。皮拉尼计分系统,包括足中挛缩评分和足后挛缩评分，传统上用于评估马蹄内翻足畸形的严重程度。Ponseti协议用于马蹄内翻足畸形的治疗。该研究旨在使用Ponseti方案评估马蹄内翻足治疗的结果，并将结果与最初的Pirani评分相关联。
■82名1周至2岁有128名特发性马蹄足的儿童被纳入研究。在招募时使用Pirani评分系统对马蹄内翻足畸形的严重程度进行评分。根据Ponseti方案，每周进行连续操作和石膏应用，无论是否进行跟腱肌腱切开术。
■平均初始皮拉尼评分为3.6±0.9。使用的平均模型数为5.9±1.3(范围:4-9个模型)。在51.56％的足部进行了肌切开术。与“无肌腱切开术”组相比，需要进行肌腱切开术的组需要更多的管模，因此需要更长的治疗时间。顺服组的足部复发率为2%,而不符合使用足外展支具的组的复发率为69%.随访6个月成功率为84.4%。
■Ponseti方案是治疗特发性马蹄内翻足的极好方法，Pirani评分系统可用于评估初始严重程度和结局.最初的皮拉尼评分与治疗持续时间相关。
■82名1周至2岁有128名特发性马蹄足的儿童被纳入研究。在招募时使用Pirani评分系统对马蹄内翻足畸形的严重程度进行评分。根据Ponseti方案，每周进行连续操作和石膏应用，无论是否进行跟腱肌腱切开术。
■平均初始皮拉尼评分为3.6±0.9。使用的平均模型数为5.9±1.3(范围:4-9个模型)。在51.56％的足部进行了肌切开术。与“无肌腱切开术”组相比，需要进行肌腱切开术的组需要更多的管模，因此需要更长的治疗时间。顺服组的足部复发率为2%,而不符合使用足外展支具的组的复发率为69%.随访6个月成功率为84.4%。
■Ponseti方案是治疗特发性马蹄内翻足的极好方法，Pirani评分系统可用于评估初始严重程度和结局.最初的皮拉尼评分与治疗持续时间相关。
