Literature DB >> 22096418

Ponseti Brasil: a national program to eradicate neglected clubfoot - preliminary results.

Monica Paschoal Nogueira1, Julio Cesar Rodrigues Pereira, Paulo Schiavom Duarte, Alexandre Lourenço, Ana Paula Tedesco, Laura Alves Ferreira, Edilson Forlin, Reinaldo Volpi, Francisco Violante, Gilberto Brandão, Eduardo Novaes, José Luis Amin Zabeu, Jung Ho Kim, Carlos Aguiar, Maria Henriqueta Renno Merlotti.   

Abstract

BACKGROUND: After hearing about the reproducible and excellent results of the Ponseti method for clubfoot treatment, a group of Brazilian orthopaedic surgeons organized and participated in a standardized national program to teach the Ponseti technique in 21 different cities across Brazil.
METHODS: A total of 21 Ponseti symposiums were organized in a standard fashion from January, 2007 to December, 2008. They consisted of a two-day program with lectures, hands-on cast application, and discussion of local clinical cases presented by orthopaedic surgeons. Thirteen Brazilian orthopaedic surgeons, who had been trained by the University of Iowa or centers recognized by them, taught the method. Financial support for travel was provided by an English charity: La Vida (Vital Investment for Developing Aid in Latin America). The physicians who attended the symposiums answered questionnaires before and after the training.
RESULTS: About 7% of the 8000 orthopaedic surgeons in Brazil (556 orthopaedic surgeons) were trained. These orthopaedic surgeons stated that they had treated about 4905 babies in the previous year via other methods, including extensive surgery. Seventeen percent of the surgeons did not know about the Ponseti technique at the start of the symposium. Eighty-eight percent reported they felt able to treat children with the Ponseti technique after the symposium. Ninety-four percent of respondents reported that the symposium changed their way of treating clubfoot
CONCLUSIONS: These Ponseti symposiums brought about an exchange of medical information and empowered the participants. This program is a good educational tool which can be used in eradicating neglected clubfoot in Brazil.

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Year:  2011        PMID: 22096418      PMCID: PMC3215112     

Source DB:  PubMed          Journal:  Iowa Orthop J        ISSN: 1541-5457


  25 in total

1.  Results of manipulation of idiopathic clubfoot deformity in Malawi by orthopaedic clinical officers using the Ponseti method: a realistic alternative for the developing world?

Authors:  Alistair J Tindall; Colin W B Steinlechner; Christopher B D Lavy; Steve Mannion; Nyengo Mkandawire
Journal:  J Pediatr Orthop       Date:  2005 Sep-Oct       Impact factor: 2.324

2.  Treatment of idiopathic clubfoot using the Ponseti method: minimum 2-year follow-up.

Authors:  Amr Atef Abdelgawad; Wallace B Lehman; Harold J P van Bosse; David M Scher; Debra A Sala
Journal:  J Pediatr Orthop B       Date:  2007-03       Impact factor: 1.041

3.  Early results of a physiotherapist-delivered Ponseti service for the management of idiopathic congenital talipes equinovarus foot deformity.

Authors:  N Shack; D M Eastwood
Journal:  J Bone Joint Surg Br       Date:  2006-08

4.  Deformity and disability from treated clubfoot.

Authors:  J Aronson; C L Puskarich
Journal:  J Pediatr Orthop       Date:  1990 Jan-Feb       Impact factor: 2.324

5.  Early experience with the Ponseti method for the treatment of congenital idiopathic clubfoot.

Authors:  Eitan Segev; David Keret; Franklin Lokiec; Ariella Yavor; Shlomo Wientroub; Elias Ezra; Shlomo Hayek
Journal:  Isr Med Assoc J       Date:  2005-05       Impact factor: 0.892

6.  Ponseti management of clubfoot in older infants.

Authors:  Noam Bor; John E Herzenberg; Steven L Frick
Journal:  Clin Orthop Relat Res       Date:  2006-03       Impact factor: 4.176

7.  Long-term follow-up of patients with clubfeet treated with extensive soft-tissue release.

Authors:  Matthew B Dobbs; Ryan Nunley; Perry L Schoenecker
Journal:  J Bone Joint Surg Am       Date:  2006-05       Impact factor: 5.284

8.  Treatment of idiopathic clubfoot. A thirty-year follow-up note.

Authors:  D M Cooper; F R Dietz
Journal:  J Bone Joint Surg Am       Date:  1995-10       Impact factor: 5.284

9.  [Early results of the Ponseti method for the treatment of idiopathic clubfoot].

Authors:  C Radler; R Suda; H M Manner; F Grill
Journal:  Z Orthop Ihre Grenzgeb       Date:  2006 Jan-Feb

10.  Long-term results of treatment of congenital club foot.

Authors:  S J Laaveg; I V Ponseti
Journal:  J Bone Joint Surg Am       Date:  1980-01       Impact factor: 5.284

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  7 in total

1.  Early effects of a 'train the trainer' approach to Ponseti method dissemination: a case study of Sri Lanka.

Authors:  Asitha Jayawardena; Sunil R Wijayasinghe; Dimuthu Tennakoon; Thomas Cook; Jose A Morcuende
Journal:  Iowa Orthop J       Date:  2013

2.  Management of idiopathic clubfoot after formal training in the Ponseti method: a multi-year, international survey.

Authors:  Jayawardena Asitha; Lewis E Zionts; Jose A Morcuende
Journal:  Iowa Orthop J       Date:  2013

Review 3.  The impact of socio-economic factors on parental non-adherence to the Ponseti protocol for clubfoot treatment in low- and middle-income countries: A scoping review.

Authors:  Manon Pigeolet; Anchelo Vital; Hassan Ali Daoud; Carol Mita; Daniel Scott Corlew; Blake Christian Alkire
Journal:  EClinicalMedicine       Date:  2022-05-12

4.  [Clubfoot treatment through the ages: the Ponseti method in comparison to other conservative approaches and operative procedures].

Authors:  H Delbrück; M Schaltenbrand; S Schröder; M Rauschmann; C Schwenninger
Journal:  Orthopade       Date:  2013-06       Impact factor: 1.087

5.  Evaluation of Ponseti method in neglected clubfoot.

Authors:  Abhinav Sinha; Anil Mehtani; Alok Sud; Vipul Vijay; Nishikant Kumar; Jatin Prakash
Journal:  Indian J Orthop       Date:  2016-09       Impact factor: 1.251

6.  The Health Determinants of Accessibility to Clubfoot Treatment in LMICs: A Global Exploration of Barriers and Solutions.

Authors:  Sharaf Sheik-Ali; Sergio M Navarro; Hashim Shaikh; Evan J Keil; Walter Johnson; Chris Lavy
Journal:  Int J MCH AIDS       Date:  2021-12-02

7.  Evaluation of a surgical treatment algorithm for neglected clubfoot in low-resource settings.

Authors:  Manon Pigeolet; Saiful Imam; Gheorghe Cristian Ninulescu; Shafiul Kabir; Pierre R Smeesters; Hasib Mahmud
Journal:  Int Orthop       Date:  2021-06-19       Impact factor: 3.075

  7 in total

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