Download PDF
CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e821-e829
DOI: 10.1055/s-0044-1787769
Artigo de Atualização
Ortopedia Pediátrica

Artigo de revisão: Conceitos atuais no tratamento do pé torto congênito

Article in several languages: português | English
Francisco Nogueira 
1   Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
Pedro Poggiali 
1   Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
› Author Affiliations Suporte Financeiro Os autores declaram que não receberam suporte financeiro de agências dos setores público, privado, ou sem fins lucrativos para a realização deste estudo.
› Further Information
Also available at
   Permissions and Reprints

Resumo

O pé torto congênito é uma deformidade complexa, frequente e que pode ser desafiadora mesmo em mãos experientes. O método de Ponseti continua sendo universalmente aceito como padrão ouro para o tratamento e ótimos resultados são esperados na maioria dos casos com o manejo adequado da técnica. As recidivas continuam sendo um problema e estão associadas principalmente à não adesão ao uso da órtese. No entanto, outros fatores podem influenciar o risco de recidiva e contribuir para um resultado insatisfatório. A transferência do tibial anterior equilibra as forças deformantes e ajuda na correção, desde que o pé seja flexível. A deformidade recidivada não será corrigida espontaneamente, requer tratamento. Procedimentos cirúrgicos adjuvantes devem fazer parte do arsenal terapêutico do ortopedista.

Palavras-chave

manipulação ortopédica - pé torto equinovaro congênito/cirurgia - pé torto equinovaro congênito/diagnóstico - pé torto equinovaro congênito/etiologia - procedimentos ortopédicos


Publication History

Received: 22 September 2023

Accepted: 18 March 2024

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Rieger MA, Dobbs MB. Clubfoot. Clin Podiatr Med Surg 2022; 39 (01) 1-14
    CrossrefPubMedSearch in Google Scholar
  • 2 Mosca VS. Clubfoot: Biomechanics and practical principles-based application of the Ponseti method. Seattle, WA: Global HELP Organization; 2021. . Available from: https://global-help.org/products/clubfoot_biomechanics/
    Search in Google Scholar
  • 3 Chen C, Kaushal N, Scher DM, Doyle SM, Blanco JS, Dodwell ER. Clubfoot etiology: A meta-analysis and systematic review of observational and randomized trials. J Pediatr Orthop 2018; 38 (08) e462-e469
    CrossrefPubMedSearch in Google Scholar
  • 4 Cordeiro FG, Macedo RS, Massa BSF, Grangeiro PM, Godoy-Santos AL, Fernandes TD. Congenital clubfoot - Is the Ponseti method the definitive solution?. Rev Bras Ortop 2021; 56 (06) 683-688
    Search in Google Scholar
  • 5 Arkin C, Ihnow S, Dias L, Swaroop VT. Midterm Results of the Ponseti method for treatment of clubfoot in patients with spina bifida. J Pediatr Orthop 2018; 38 (10) e588-e592
    CrossrefPubMedSearch in Google Scholar
  • 6 Diméglio A, Bensahel H, Souchet P, Mazeau P, Bonnet F. Classification of clubfoot. J Pediatr Orthop B 1995; 4 (02) 129-136
    CrossrefPubMedSearch in Google Scholar
  • 7 Chu A, Labar AS, Sala DA, van Bosse HJ, Lehman WB. Clubfoot classification: correlation with Ponseti cast treatment. J Pediatr Orthop 2010; 30 (07) 695-699
    CrossrefPubMedSearch in Google Scholar
  • 8 Brazell C, Carry PM, Jones A. et al. Dimeglio score predicts treatment difficulty during Ponseti casting for isolated clubfoot. J Pediatr Orthop 2019; 39 (05) e402-e405
    CrossrefPubMedSearch in Google Scholar
  • 9 Dyer PJ, Davis N. The role of the Pirani scoring system in the management of club foot by the Ponseti method. J Bone Joint Surg Br 2006; 88 (08) 1082-1084
    CrossrefPubMedSearch in Google Scholar
  • 10 Zionts LE, Sangiorgio SN, Cooper SD, Ebramzadeh E. Does Clubfoot Treatment Need to Begin As Soon As Possible?. J Pediatr Orthop 2016; 36 (06) 558-564
    CrossrefPubMedSearch in Google Scholar
  • 11 Chotel F, Parot R, Seringe R, Berard J, Wicart P. Comparative study: Ponseti method versus French physiotherapy for initial treatment of idiopathic clubfoot deformity. J Pediatr Orthop 2011; 31 (03) 320-325
    CrossrefPubMedSearch in Google Scholar
  • 12 Zionts LE. What's New in Idiopathic Clubfoot?. J Pediatr Orthop 2015; 35 (06) 547-550
    CrossrefPubMedSearch in Google Scholar
  • 13 Eidelman M, Kotlarsky P, Herzenberg JE. Treatment of relapsed, residual and neglected clubfoot: adjunctive surgery. J Child Orthop 2019; 13 (03) 293-303
    CrossrefPubMedSearch in Google Scholar
  • 14 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 (04) 412-415
    CrossrefPubMedSearch in Google Scholar
  • 15 Parada SA, Baird GO, Auffant RA, Tompkins BJ, Caskey PM. Safety of percutaneous tendoachilles tenotomy performed under general anesthesia on infants with idiopathic clubfoot. J Pediatr Orthop 2009; 29 (08) 916-919
    CrossrefPubMedSearch in Google Scholar
  • 16 Desai L, Oprescu F, DiMeo A, Morcuende JA. Bracing in the treatment of children with clubfoot: past, present, and future. Iowa Orthop J 2010; 30: 15-23
    PubMedSearch in Google Scholar
  • 17 Sala DA, Chu A, Lehman WB, van Bosse HJ. Achievement of gross motor milestones in children with idiopathic clubfoot treated with the Ponseti method. J Pediatr Orthop 2013; 33 (01) 55-58
    CrossrefPubMedSearch in Google Scholar
  • 18 Kenmoku T, Kamegaya M, Saisu T. et al. Athletic ability of school-age children after satisfactory treatment of congenital clubfoot. J Pediatr Orthop 2013; 33 (03) 321-325
    CrossrefPubMedSearch in Google Scholar
  • 19 Ponseti IV, Zhivkov M, Davis N, Sinclair M, Dobbs MB, Morcuende JA. Treatment of the complex idiopathic clubfoot. Clin Orthop Relat Res 2006; 451 (451) 171-176
    CrossrefPubMedSearch in Google Scholar
  • 20 Allende V, Paz M, Sanchez S. et al. Complex clubfoot treatment with Ponseti method: A Latin American multicentric study. J Pediatr Orthop 2020; 40 (05) 241-245
    CrossrefPubMedSearch in Google Scholar
  • 21 Zhao D, Li H, Zhao L. et al. Prognosticating factors of relapse in clubfoot management by Ponseti method. J Pediatr Orthop 2018; 38 (10) 514-520
    CrossrefPubMedSearch in Google Scholar
  • 22 Tougas CM, Ballester AM, Morgan RD, Ebramzadeh E, Sangiorgio SN, Zionts LE. Quantification of ankle dorsiflexion in Ponseti-managed unilateral clubfoot patients during early childhood. J Pediatr Orthop 2021; 41 (02) 83-87
    CrossrefPubMedSearch in Google Scholar
  • 23 Zionts LE, Jew MH, Bauer KL, Ebramzadeh E, Sangiorgio SN. How many patients who have a clubfoot treated using the Ponseti method are likely to undergo a tendon transfer?. J Pediatr Orthop 2018; 38 (07) 382-387
    CrossrefPubMedSearch in Google Scholar
  • 24 Little Z, Yeo A, Gelfer Y. Poor evertor muscle activity is a predictor of recurrence in idiopathic clubfoot treated by the Ponseti method: A prospective longitudinal study with a 5-year follow-up. J Pediatr Orthop 2019; 39 (06) e467-e471
    CrossrefPubMedSearch in Google Scholar
  • 25 Mindler GT, Kranzl A, Radler C. Normalization of forefoot supination after tibialis anterior tendon transfer for dynamic clubfoot recurrence. J Pediatr Orthop 2020; 40 (08) 418-424
    CrossrefPubMedSearch in Google Scholar
  • 26 Lourenço AF, Morcuende JA. Correction of neglected idiopathic club foot by the Ponseti method. J Bone Joint Surg Br 2007; 89 (03) 378-381
    CrossrefPubMedSearch in Google Scholar
  • 27 Porta J, Masquijo J. Tratamiento del pie bot idiopático luego de la edad de la marcha: revisión sistemática de la bibliografía. Rev Asoc Argent Ortop Traumatol 2017; 82 (01) 14-18
    CrossrefSearch in Google Scholar
  • 28 van Gelder JH, van Ruiten AG, Visser JD, Maathuis PG. Long-term results of the posteromedial release in the treatment of idiopathic clubfoot. J Pediatr Orthop 2010; 30 (07) 700-704
    CrossrefPubMedSearch in Google Scholar
  • 29 Hsu LP, Dias LS, Swaroop VT. Long-term retrospective study of patients with idiopathic clubfoot treated with posterior medial-lateral release. J Bone Joint Surg Am 2013; 95 (05) e27
    CrossrefPubMedSearch in Google Scholar
  • 30 El-Deeb KH, Ghoneim AS, El-Adwar KL, Khalil AA. Is it hazardous or mandatory to release the talocalcaneal interosseous ligament in clubfoot surgery?: a preliminary report. J Pediatr Orthop 2007; 27 (05) 517-521
    CrossrefPubMedSearch in Google Scholar