Reverse ponseti method untuk terapi congenital vertical talus (cvt) di rsos : apakah outcome terapi pada penderita usia <1 tahun lebih baik daripada outcome terapi penderita ≥ 1tahun

Penulis Utama : Yusuf Khairul
NIM / NIP : S9306004
× Background: The incidence of CVT was estimated 1: 10.000 . Treatment of CVT has traditionally consisted of manipulation and application of casts followed by extensive soft-tissue releases. This treatment is often followed by severe stiffness of the foot and other complications such as wound necrosis, talar necrosis, undercorrection deformity, subtalar joint pseudarthrosis. A new method – Reverse Ponseti Method – provides excellent results of in terms of the clinical appearance of the foot, foot function, and deformity correction as measured radiographically at a minimum two years, in patients with idiopathic CVT. The controversies of Reverse Ponseti Method are how is the result for Syndromic VT and how old the upper age limit or cut-off age for the best result. Method: This is a Observational-Crossectional study for patients with CVT at Prof DR R Soeharso Hospital from December 2008 – Desember 2010. All the patients had the treatment with serial manipulations and casts followed by limited surgery consisting of percutaneous Achilles tenotomy, and percutaneous pin fixation of the talonavicular joint. The principles of manipulation and application of the plaster casts were similar to those used by Ponseti to correct a clubfoot deformity, but the forces were applied in the opposite direction. The patients were placed according to the type of CVT (Idiophatic and syndromic) and the age ( < 1 year old and ≥ 1 year old). Patients were evaluated clinically and radiographically post casting, immediately postoperatively, and at the latest follow-up. Radiographic measurements obtained at these times were compared. The clinical (modified American Foot and Ankle score/AFAS) and radiographic (Hamanischi score) data at the final evaluation we also compared to pretreatment. Results: There were sixteen patients with twenty one feet ( seven (44%) patients Idiophatic CVT with ten feet, and nine (56%) patients Syndromic VT with eleven feet). A mean of 6.5 casts was required for correction. No patient underwent extensive surgical releases. At the final evaluation, the mean ankle dorsiflexion was 42,9° and the mean plantar flexion was 42,8°. No patients had a loss of correction. There is no significance differences between group of type CVT, and between group of age. Conclusions: Serial Reverse Ponseti manipulation and cast immobilization followed by talonavicular pin fixation and percutaneous tenotomy of the Achilles tendon provides excellent results, in terms of the clinical appearance of the foot, foot function, and deformity correction as measured radiographically, in patients with both Idiophatic and Syndromic CVT and both the age <1 year old and ≥ 1 year old
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Penulis Utama : Yusuf Khairul
Penulis Tambahan : -
NIM / NIP : S9306004
Tahun : 2011
Judul : Reverse ponseti method untuk terapi congenital vertical talus (cvt) di rsos : apakah outcome terapi pada penderita usia <1 tahun lebih baik daripada outcome terapi penderita ≥ 1tahun
Edisi :
Imprint : Surakarta - F.Kedokteran - 2011
Program Studi : PPDS Orthopaedi
Kolasi :
Sumber : UNS-F.Kedokteran Jur Kedokteran-S9306004-2011
Kata Kunci :
Jenis Dokumen : Skripsi
ISSN :
ISBN :
Link DOI / Jurnal : -
Status : Public
Pembimbing : 1. Dr.Anung Budi Satriadi. Spot
Penguji :
Catatan Umum :
Fakultas : Fak. Kedokteran
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