The techniques by I. Ponseti and M. Dobbs in treatment of children with feet arthrogrypotic deformities

Abstract

Purpose. To analyze the effectiveness of conservative treatment of children with feet arthrogrypotic deformties in the Yaroslavl Region within the period of 2003-2013. Materials and Methods. The results of treatment in 29 children analyzed. There were equinovarus deformities (40 feet) in 26 children, equinoplanovalgus ones (six feet) – in three children. Within the period of 2003-2007 we treated the patients (15 children – 19 feet) using the Vilensky method, and further up to the present time (14 children – 27 feet) – using the techniques by I. Ponseti and M. Dobbs. Results. The analysis revealed high effectiveness of I. Ponseti and M. Dobbs techniques for feet arthrogrypotic deformities. The need for surgical correction of feet arthrogrypotic deformities in the early childhood 7.6-fold decreased. Conclusion. Despite the small number of observations in our work the demonstration of the results of treatment using I. Ponseti technique for arthrogrypotic clubfoot, as well as using M. Dobbs technique in correcting arthrogrypotic vertical talus should motivate orthopedists to master and introduce these techniques when treating children at the age below four years.