Online ISSN: 2515-8260

Modern approaches in the treatment of children under three years of age with congenital clubfoot using the Ponsetí method

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1 Jasurbek Urinov, 1Akhror Djuraev,2Qayum Ashankhodjaev,


Abstract: Despite modern advances in paediatric traumatology and orthopaedics in the treatment of patients with foot deformities, conservative and surgical strategies of cure are nevertheless considered unsuccessful, to a giant extent if the problem is a recurrent or justified congenital ailment of the central or peripheral apprehensive system. For the therapy of children with congenital clubfoot we have used a huge range of treatments, including purposeful techniques (corrective massage, TPT, carrying functional tires), fixation methods (bandaging, staged plaster bandages), physiotherapy (electrostimulation, hydrotherapy, UHF, ultrasound, electrophoresis, etc.). Specialized remedy included: orthopaedic (wearing orthopaedic footwear with inlays, shafts, bandages made of thermoplastic), conservative and surgical treatment. Analysis of the bought remedy effects in distinct age groups showed that the major undertaking of treatment and its success depends on early restoration of anatomical relations in the joint. Thus, in teenagers under one-year-old, appropriate diagnostics and software of atraumatic functional methods of remedy primarily based on Ponset approach allowed achieving good results with a significant discount in the number of plaster bandages and accordingly decreasing the cure duration in universal to 2 months. The find out about of the experience of cure of congenital clubfoot based totally on its cloth showed that the use of a unique cure approach relies upon on the assessment of the severity of foot deformation. The chosen treatment systems need to be intensive and consistent, beginning from the early duration after birth, when the foot deformity is cellular and bendy to correction. The new technique of surgical treatment, change of achillotomyms in accordance to the Ponset method, allowed us to get suitable beauty result barring lowering the effectivity of the surgical intervention. Another benefit of this technique reduces the length of the operation and reduces soft tissue trauma in the Achilles tendon area.

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