Tratamiento del pie equino varo congénito idiopático. Revision de Conceptos Actuales
DOI:
https://doi.org/10.1016/j.rccot.2021.01.003Palabras clave:
talipes equinovarus, equinovarus, desenlace, cirugía, Ponseti, tenotomía del tendón de Aquiles, férula abductoraResumen
El tratamiento del pie equino varo congénito (PEVC) cambió de manera radical con el Método de Ponseti (MP) gracias a los excelentes resultados obtenidos. En contraposición, el resultado estético y funcional de los pies sometidos a cirugías extensas es devastador a largo plazo. La técnica de las manipulaciones, enyesado, tenotomía del tendón de Aquiles y el uso de la férula de abducción se explican en detalle. Así mismo se resaltan los errores y sus complicaciones en la técnica y las otras alternativas de tratamiento existentes.
Nivel de Evidencia: IV
Descargas
Referencias bibliográficas
Cooper D, Dietz F. Treatment of idiopathic clubfoot. J Bone and Joint Surg. 1995;77:77-89. https://doi.org/10.2106/00004623-199510000-00002
Zhao, et al. Results of clubfoot management using the Ponseti method: do details matter? A systematic review. Clin Orthop. 2014;472:29-36. https://doi.org/10.1007/s11999-014-3463-7
Brodsky JW. The adult sequelae of treated congenital clubfoot.Foot ankle clin. 2010;15:287-96. https://doi.org/10.1016/j.fcl.2010.03.002
Dobbs M, Nunley R, Schoenecker P. Long term follow-up of patients with clubfoot treated with extensive soft tissue release. J Bone Joint Surg. 2006;88:86-96. https://doi.org/10.2106/00004623-200605000-00009
Lourenc¸o AF, Morcuende JA. Correction of neglected idiopathic club foot by the Ponseti method. J Bone Joint Surg Br. 2007;89:378-81. https://doi.org/10.1302/0301-620X.89B3.18313
Rosselli P. El método de Ponseti para la corrección de deformidades en el pie equino varo congénito. Rev Col Or Tra. 2006;21:63-4.
Rosselli P, Suarez J, Rodriguez S. Resultados del tratamiento del pie equino varo congénito con el método de Ponseti. Rev Col Or Tra. 2018;32:134-40, https://doi.org/10.1016/j.rccot.2017.09.003
Jayawardena A, Wijayasinghe SR, Tennakoon D, Cook T, Morcuende JA. Early effects of a'train the trainer' approach to Ponseti method dissemination: a case study of Sri Lanka. Iowa Orthop J. 2013;33:153-60.
Asitha J, Zionts LE, Morcuende JA. Management of idiopathic clubfoot afterformaltraining in the Ponseti method: a multiyear, international survey. Iowa Orthop J. 2013;33:136-41.
Zhao D, et al. Prognosticating factors of relapse in clubfoot management by Ponseti method. J Pediatr Orthop. 2018;38:514-20, https://doi.org/10.1097/BPO.0000000000000870
Ponseti IV. Congenital Clubfoot. Fundamentals of Treatment. Oxford Medical Publications, Oxford. 1996.
Dimeglio A, Canavese F. The French functional physical therapy method for the treatment of congenital clubfoot. Pediatr Orthop J.B. 2012;21:28-39. https://doi.org/10.1097/BPB.0b013e32834ee5f8
Herzenberg JE, Radler C, Bor N. Ponseti versus traditional methods of casting for idiopathic clubfoot. J Pediatr Orthop. 2002;22:517-21. https://doi.org/10.1097/01241398-200207000-00019
Jowett CR, Morcuende JA, Ramachandran M. Management of congenital talipes equinovarus using the Ponseti method: A systematic review. J Bone Joint Surg Br. 2011;93:1160-4. https://doi.org/10.1302/0301-620X.93B9.26947
Holt JB, Oji DE, Yack HJ, Morcuende JA. Long-term results of tibialis anterior transfer for relapsed idiopathic clubfoot treated with the Ponseti method: A follow-up of thirtyseven to fifty-five years. J Bone Joint Surg Am. 2015 Jan 7;97:47-55. https://doi.org/10.2106/JBJS.N.00525
Miller NH, Carry PM, Mark BJ, Engelman GH, Georgopoulos G, Graham S, Dobbs MB. Does strict adherence to the Ponseti method improve isolated clubfoot Treatment Outcomes? A twoinstitution review. Clin Orthop Relat Res. 2016;474:237-43. https://doi.org/10.1007/s11999-015-4559-4
Laaveg SJ, Ponseti IV. Long-term results of treatment of congenital club foot. J Bone Joint Surg Am. 1980;62:23-31. https://doi.org/10.2106/00004623-198062010-00004
Ponseti IV, Smoley EN. Congenital club foot: the results of treatment.Bone and Joint Surg. 1963;45:261-327. https://doi.org/10.2106/00004623-196345020-00004
Plaster cast treatment of clubfoot. The Ponseti method of manipulation and casting Morcuende. J Pediatr Orthop Part B. 1994;3:161-167. https://doi.org/10.1097/01202412-199403020-00007
Adegbehingbe OO, Adetiloye AJ, Adewole L, Ajodo DU, Bello N, Esan O, Hoover AC, Ior J, Lasebikan O, Ojo O, Olasinde A, Songden D, Morcuende JA. Ponseti method treatment of neglected idiopathic clubfoot: Preliminary results of a multi-center study in Nigeria. World J Orthop. 2017;8:624-30. https://doi.org/10.5312/wjo.v8.i8.624
Arana Hernández EI, Cuevas De Alba C. Método de Ponseti en el tratamiento del pie equino varo: técnica de enyesado y tenotomía percutánea del tendón de Aquiles. Orthotips. 2015;11:186-94.
Ponseti IV. Common errors in the treatment of congenital clubfoot. Int Orthop. 1997;21:137-41.https://doi.org/10.1007/s002640050137
Morcuende JA, Abbasi D, Dolan LA, Ponseti IV. Results of an accelerated Ponseti protocol for clubfot. J Pediatr Orthop. 2005;25:623-6. https://doi.org/10.1097/01.bpo.0000162015.44865.5e
Terrazas-Lafargue G, Morcuende JA. Effect of cast removal timing in the correction of idiopathic clubfoot by the Ponseti method.Iowa Orthop J. 2007;27:24-7.
David M, Scher, David S, Feldman, Harold JP, van Bosse, Debra A, Sala, Wallace B. Lehman. Predicting the Need for Tenotomy in the Ponseti Method for Correction of Clubfeet. J Pediatr Orthop. Jul-Aug. 2004;24:349-52. https://doi.org/10.1097/01241398-200407000-00001
Lebel E, Karasik M, Bernstein-Weyel M, Mishukov Y, Peyser A. Achilles tenotomy as an office procedure: safety and efficacy as part of the Ponseti serial casting protocol for clubfoot. J Pediatr Orthop. 2012;32:412-5. https://doi.org/10.1097/BPO.0b013e31825611a6
Percutaneous heel cord release for clubfoot: a retrospective, multicentre cost, analysis., B., Hedrick, F., K., Gettys, S., Richards, R., D., Muchow, C.-H., Jo, and M., D., Abbott., J., Child, Orthop., 2018; 12(3): 273-278. https://doi.org/10.1302/1863-2548.12.170216
Bor N, Katz Y, Vofsi O, Herzenberg JE, Zuckerberg AL. Sedation protocols for Ponseti clubfoot Achilles tenotomy. J Child Orthop. 2007;1:333-5. https://doi.org/10.1007/s11832-007-0059-8
Mosca VS. Principles and Management of Pediatric Foot and Ankle Deformities and Malformations. Philadelphia: Lippincott Williams and Wilkins; 2014.
Dobbs MB, Gordon JE, Walton T, Schoenecker PL. Bleeding complications following percutaneous tendoachilles tenotomy in the treatment of clubfoot deformity. J Pediatr Orthop. 2004;24:353-7. https://doi.org/10.1097/01241398-200407000-00002
Rolf D, Burghardt, John E, Herzenberg, Ashish, Ranade. Pseudoaneurysm After Ponseti Percutaneous Achilles Tenotomy: A Case Report. J Pediatr Orthop. 2008;28:366-9. https://doi.org/10.1097/BPO.0b013e3181653b6f
Confirmation of Tenotomy Healing at 3 Weeks Using the Ponseti Protocol Olalekan A. Anipole, MBBS, FWACS, Olayinka O. Adegbehingbe, MBChB, FWACS, Oluwagbenga Ayoola, MBChB, FWACS. The Journal of Foot & Ankle Surgery 2020;59:529-534. https://doi.org/10.1053/j.jfas.2019.08.033
Chakravarthy T, Dussa U, Harald Böhm, Leonhard Döderlein, Raimund Forst, Albert, Fujak. Does an overcorrected clubfoot caused by surgery or by the Ponseti method behave differently? Gait & Posture. 2020;77:308-14. https://doi.org/10.1016/j.gaitpost.2020.02.012
Christopher B, Hayes, Kevin A, Murr, Ryan D, Muchow, Henry J, Iwinski, Vishwas R, Talwalkar, Janet L, Walker, Todd A, Milbrandt, Pooya, Hosseinzadeh. Pain and overcorrection in clubfeet treated by Ponseti method. Journal of Pediatric Orthopaedics B. 2018;27:52-5. https://doi.org/10.1097/BPB.0000000000000442
Joseph Mitchell MD, Aaron Bishop BS, Yixuan Feng MS, Daniel Farley MS, Scott Hetzel MS, Heidi-Lynn Ploeg PhD, Jie Nguyen MS, Kenneth MD, Noonan JMD. Residual Equinus After the Ponseti Method: An MRI-based 3-Dimensional Analysis. J Pediatr Orthop. 2018;38:e271-7, https://doi.org/10.1097/BPO.0000000000001147
Chia H, Chang MDPhD, Shu M, Wang MS, Ken N, Kuo. MD. The Ponseti Method Decreased the Surgical Incidence in Children with Congenital Clubfoot. A Population-Based, 8 Birth-Year Cohort Study. J Bone Joint Surg Am. 2019;101:1955-60. https://doi.org/10.2106/JBJS.19.00245
Peter A, Smith MD, Ken N, Kuo MD, Adam N, Graf MS, Joseph Krzak PT, PhD, Ann Flanagan PT, Sahar Hassani MS, Angela K, Caudill PT, Fredrick R, Dietz MD, Jose Morcuende MD, Gerald F, Harris PE. PhD. Long-term Results of Comprehensive Clubfoot Release Versus the Ponseti Method: Which Is Better? Clin Orthop Relat Res. 2014;472:1281-90. https://doi.org/10.1007/s11999-013-3386-8
Ko KR, Shim JS, Kim JH, Cha YT. Difficulties During Ponseti Casting for the Treatment of Idiopathic Clubfoot. J Foot Ankle Surg. 2020;59:100-4. https://doi.org/10.1053/j.jfas.2019.07.022
Wallace B, Lehman, Ahamed Mohaideen, Sanjeev Madan, David M, Scher, Harold JP, Van Bosse, Michelle Iannacone, Jamal S, Bazzi, David S, Feldman. A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot. J Pediatr Orthop B. 2003;12:133-40. https://doi.org/10.1097/01202412-200303000-00011
Mihir M, Thacker, David M, Scher, Debra A, Sala, Harold JP, van Bosse, David S, Feldman, Wallace B, Lehman. Use of foot abduction orthosis following Ponseti casts. Is it essential? J Pediatr Orthop. 2005;25:225-8. https://doi.org/10.1097/01.bpo.0000150814.56790.f9
Mathew B, Dobbs JR, Rudzki, Derek B, Purcell, Tim Walton, Kristina R, Porter, Christina A, Gurnet. Factor predictive of outcome after use of the Ponseti Method for the treatment of idiopathic Clubfeet. Journal of Bone and Joint Surgery. 2004;86:22-7, https://doi.org/10.2106/00004623-200401000-00005
Saetersdal C, Fevang JM, Engesaeter LB. Inferior results with unilateral compared with bilateral brace in Ponsetitreated clubfeet. J Child Orthop. 2017;11:216-22, https://doi.org/10.1302/1863-2548.11.160279
Eugen Cohen, Tiberiu Katz, Uri Rozen, TaiFriesem, Eugene, Leibovitz. The influence of Achilles tenotomy and compliance with foot abduction orthosis on the relapse rate of Ponseti treatment for idiopathic clubfoot:A regional study. The Journal of Foot & Ankle Surgery. 2020;59:784-7, https://doi.org/10.1053/j.jfas.2019.12.007
Dahang Zhao, Jianlin Liu, Li Zhao, Zhenkai Wu. Relapse of clubfoot after treatment with the Ponseti method and the function of the foot abduction orthosis. Clinics of Orthopedic Surgery. 2014;6:245-52, https://doi.org/10.4055/cios.2014.6.3.245
Lajja Desai, Florin Oprescu, Andrew Dimeo, Jose A, Morcuende. Bracing in the treatment of children with clubfoot: Past, present and future. The Iowa Orthopaedic Journal. 2010;30: 15-23.
Harvey L George, Puthenveetil Nithin Unnikrishnan, Neeraj K Garg, Jay Sampath, Colin E Bruce. Unilateral Foot Abduction Orthosis: Is It a Substitute for Denis Browne Boots Following Ponseti Technique? J Pediatr Orthop B. 201;20(1): 22-5. https://doi.org/10.1097/BPB.0b013e32833fb8a5
Sumeet Garg, Kristina, Porter. Improved Bracing Compliance in Children With Clubfeet Using a Dynamic Orthosis. J Child Orthop. 2009;3:271-6. https://doi.org/10.1007/s11832-009-0182-9
Nogueira Monica P, Mark Fox, Kathleen Miller, Jose, Morcuende. The ponseti method of treatment for clubfoot in Brazil Barriers to bracing compliance. The Iowa Orthopaedic Journal. 2013;33:161-6.
Stephanie Boehm, Marc Sinclair. Foot Abduction Brace in the Ponseti Method for Idiopathic Clubfoot Deformity: Torsional Deformities and Compliance. J Pediatr Orthop. 27(6):712-6. 2007. https://doi.org/10.1097/BPO.0b013e3181425508
Pooya Hosseinzadeh, Derek M, Kelly, Lewis E, Zionts. Management of the relapsed clubfoot treatment using the Ponseti Method Review Article. J Am Acad Orthop Surg. 2017;25:195-203. https://doi.org/10.5435/JAAOS-D-15-00624
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.
Derechos de autor
Los autores aceptar transferir a la Revista Colombiana de Ortopedia y Traumatología los derechos edición, publicación y reproducción de los artículos publicados. La editorial tiene el derecho del uso, reproducción, transmisión, distribución y publicación en cualquier forma o medio. Los autores no podrán permitir o autorizar el uso de la contribución sin el consentimiento escrito de la revista. Una vez firmada por todos los autores, la carta de Cesión de derechos debe ser cargada en el paso dos del envío.
Aquellos autores que tengan publicaciones en esta revista aceptan los siguientes términos:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web), lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
