Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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La gestione del piede torto

Club foot management

Anna M.C. Galimberti1, Daniela Dibello2, Valentina Di Carlo2, Marco Carbone2, Egidio Barbi1,2

1Università di Trieste
2SC di Ortopedia, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste

Febbraio 2019 - pagg. 109 -111

Abstract
Club foot (also called talipes equinovarus) is the commonest foot congenital malformation. It affects 1-2/1,000 of live births, showing a ratio M:F of 2:1 and a predominant distribution in the developing countries (80%). It is a complex and bilateral deformity in 50% of cases. Affected children will not walk physiologically and live a normal life without a proper treatment. Over the last decades corrective solutions with different degrees of invasiveness have been proposed. In particular, the surgical treatment of club foot may lead to complications and to the final result of a foot that hardly has a complete functionality also because of retractions and surgical scars. In the last decades scientific evidence has definitively confirmed the effectiveness of the Ponseti non-invasive method based on manipulation, plaster casts, percutaneous Achilles tenotomy and stabilisation of the foot using a brace.
Parole chiave
Classification classificazione Congenital club foot Conservative management Gestione conservativa Piede torto congenito
Classificazione MeSH
Musculoskeletal System Tendons Achilles Tendon
Equipment and Supplies Surgical Equipment Orthopedic Equipment Orthopedic Fixation Devices External Fixators Casts, Surgical (2)
Congenital, Hereditary, and Neonatal Diseases and Abnormalities Congenital Abnormalities Musculoskeletal Abnormalities Limb Deformities, Congenital Lower Extremity Deformities, Congenital Foot Deformities, Congenital
Congenital, Hereditary, and Neonatal Diseases and Abnormalities Congenital Abnormalities Musculoskeletal Abnormalities Limb Deformities, Congenital Lower Extremity Deformities, Congenital Foot Deformities, Congenital (5)
Equipment and Supplies Surgical Equipment Orthopedic Equipment Orthotic Devices (12)
Surgical Procedures, Operative Orthopedic Procedures Tenotomy (2)
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C’è scoliosi e scoliosi…
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Bibliografia
Current conservative management and classification of club foot: a review. J Pediatr Rehabil Med 2016;9(4):257-64. • Manes E, Costa CM, Innao V. The treatment of congenital clubfoot during 1st year of life. Chir Organi Mov 1975;62:301-14. • Morcuende JA, Dolan LA, Dietz FR, Ponseti IV. Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method. Pediatrics 2004;113(2):376- 80. • Ponseti International Association. What is clubfoot? http://www.ponseti.info/what-isclubfoot. html. • Staheli L, Ponseti I, Morcuende JA, et al. Clubfoot: Ponseti management. 3th edition, Global HELP Ed, 2009.

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