TY - JOUR T1 - Ponseti Yöntemiyle Tedavi Edilen Konjenital Pes Ekinovaruslu Hastaların Orta Dönem Sonuçları TT - Mid-Term Clinical Results of Patients with Congenital Talipes Equinovarus Deformity Treated with Ponseti Method AU - Altun, Güray AU - Kurtulmuş, Tuhan PY - 2018 DA - November Y2 - 2018 DO - 10.30565/medalanya.422996 JF - Acta Medica Alanya JO - Acta Med. Alanya PB - Alanya Alaaddin Keykubat Üniversitesi WT - DergiPark SN - 2587-0319 SP - 193 EP - 198 VL - 2 IS - 3 LA - tr AB - Amaç:Konjenital Pes Ekinovarus (KPEV)deformiteli hastalarda Ponseti tekniğiyle manipulasyon ve alçı tedaviyönteminin orta dönem klinik sonuçlarını değerlendirmeyi amaçladık.Hastalar ve Yöntemler:Kartal Eğitim ve Araştırma HastanesiOrtopedi ve Travmatoloji Kliniğinde 2005 - 2009 yılları arasında Ponsetitekniğiyle manipulasyon ve alçı yöntemiyle tedavi edilen 35 hastanın, 22’si erkek13’ü kızdı. KPEV’li 56 ayağın 21’i bilateral, 14’ü tek taraflıydı. Kliniksonuçlar Pirani skorlama sistemine göre değerlendirildi. Tüm hastalarıntedavisine hastanemize başvurduğu andan itibaren başlandı. Hastaların yaşı 2günle 2 ay arasındaydı. Hasta başına ortalama 7 (5-11) adet alçı yapıldı. Tümhastaların aşilotomileri ameliyathane koşullarında yapıldı. Aşilotomi ve 3hafta alçı uygulamasını takiben tüm hastalar Dennis Brown ateliyle ortalama 28(20-36) ay takip edildi.Bulgular:Ön ve arka ayak skorlarında tedavisonrası düzelme anlamlı derecedeydi (p<0.001). Tedaviye başlama yaşının tedaviyeetkisi olmadığı görüldü (p>0.05). Abduksiyon breysi tedavisinin takibisırasında iki hastanın aşilotomisinin, özellikle ekin deformitesinin nüksetmesi sebebiyle, tekrarlanması gerekti. Sekiz hastaya seri alçılamatedavisinden sonra ayak bileği dorsifleksiyonunun 15 dereceden fazla olmasınedeniyle aşilotomi yapılmadı.Sonuç:KPEV’li hastalarda Ponseti yöntemi, tekniğineuygun yapıldığında ve hastaların takipleri düzenli gerçekleştirildiğinde başarılıbir tedavi yöntemi olarak uygulanabilir. KW - Pes ekinovarus KW - Ponseti yöntemi KW - Aşilotomi N2 - Aim: We aimed to evaluate the mid-term clinicalresults of manipulation and casting treatment method with Ponseti technique inpatients with Congenital Talipes Equinovarus (CTEV) deformity.Patients and Methods:Thirty-five patients were treated byPonseti technique of manipulation and casting treatment method in theDepartment of Orthopedics and Traumatology of Kartal Training and ResearchHospital between 2005-2009 and 22 of them were males and 13 of them werefemales. Twenty-one of 56 feet with CTEV were 21 bilateral and 14 of them wereunilateral. Clinical results were assessed according to the Pirani clubfootseverity scoring system. Treatments of all patients were initiated beginningfrom the moment of their application. Ages of the patients ranged between 2days and 2 months. The total number of casts applied per patient was average 7± (5-11). Achillotomies of all patients were performed under conditions of theoperating room. The patients were followed up for 28 ± (20-36) months afterapplication of achillotomy and foot cast for 3 weeks and followed by DennisBrown splint.Results: Improvement in forefoot and hindfoot scoresafter treatment was significant (p<0.001). Age at onset of treatment wasobserved to have no therapeutic effect (p>0.05). During follow-ups oftreatment with abduction brace, achillotomies of two patients were required tobe repeated particularly due to recurrence of equinus deformity. 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The ponseti technique for correction of congenital clubfoot. J Bone Joint Surg Am 2002;84-A:1889–90 author reply 90–1. UR - https://doi.org/10.30565/medalanya.422996 L1 - https://dergipark.org.tr/tr/download/article-file/572637 ER -