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  • Sharaf Ibrahim MBCHB Frcs Ms Orth Department of Orthopaedics and Traumatology Universiti Kebangsaan Malaysia

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    Peter Thafon
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    Clubfoot, or talipes equinovarus, has a global incidence rate ranging from 1-2/1000 births. It has a multifactorial etiology involving both genetic and environmental factors. The Ponseti method is an effective non-surgical treatment for clubfoot involving serial casting and percutaneous Achilles tenotomy in most cases. Proper treatment should begin at birth to achieve the best outcomes.

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    CTEV Ponseti Columbia

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    Clubfoot, or talipes equinovarus, has a global incidence rate ranging from 1-2/1000 births. It has a multifactorial etiology involving both genetic and environmental factors. The Ponseti method is an effective non-surgical treatment for clubfoot involving serial casting and percutaneous Achilles tenotomy in most cases. Proper treatment should begin at birth to achieve the best outcomes.

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    © All Rights Reserved
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    12 views69 pages

    Sharaf Ibrahim MBCHB Frcs Ms Orth Department of Orthopaedics and Traumatology Universiti Kebangsaan Malaysia

    Uploaded by

    Peter Thafon
    Clubfoot, or talipes equinovarus, has a global incidence rate ranging from 1-2/1000 births. It has a multifactorial etiology involving both genetic and environmental factors. The Ponseti method is an effective non-surgical treatment for clubfoot involving serial casting and percutaneous Achilles tenotomy in most cases. Proper treatment should begin at birth to achieve the best outcomes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 69

    Sharaf Ibrahim MBChB FRCS MS Orth

    Department of Orthopaedics and Traumatology


    Universiti Kebangsaan Malaysia
    Clubfoot – Kaki Bengkok
    Global Incidence Of Clubfoot

    1-2/1000
    1-2/1000

    0.5-1/1000

    1/1000
    1.3/1000

    6-7/1000
    1.5-3.5/1000
    Multifactorial Aetiology
    intrauterine causes

    genetic anomalies extrauterine causes


    Incidence in Monozygotic Twins
    32.5%

    Idelberger 1939
    Wynne-Davies 1964
    30 Y
    The Ponseti Method
    Correct the cavus first
    Apply an above knee plaster
    and mold
    Release the toes dorsally

    Leave in plaster for 5 to 7 days


    The natural progression

    Average of 5 casts
    Percutaneous tenotomy of Achilles
    tendon

    80% will need this


    Final cast for 3 weeks

    70° abduction and 15° dorsiflexion


    Foot Abduction Orthosis
    Week 1 Week 2 Week 3 Week 4 Week 5
    8 Y Rohingya Child
    1 Y Postop
    Arthrogryposis - Clubfoot
    Talectomy
    4 Mo Postop
    Guided Growth Technique
    30 Y
    6 Mo Postop
    Pesan Yang Hendak
    Disampaikan

    Perawatan harus dimulai sejak lahir

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