CAJ | 학술논문

目的：比较Ponseti方法治疗0～3个月和3～6个月小婴儿先天性马蹄内翻足的近期疗效。方法：2010年8月～2012年9月采用Ponseti方法治疗6个月以内先天性马蹄内翻足39足，其中0～3个月21足，3～6个月18足。对所有患足进行Pirani评分，将0～0．5分判为优良，比较2组的优良率、应用石膏次数及跟腱切断手术率。结果：2组患儿优良率无显著性差异（P＞0．05）。0～3个月组应用石膏次数及跟腱切断手术率比3～6个月组少，2组间有显著性差异（P＜0．05）。结论：Ponseti方法治疗小婴儿先天性马蹄内翻足效果满意，3个月以内是治疗先天性马蹄内翻足的最佳年龄。
목적：비교Ponseti방법치료0～3개월화3～6개월소영인선천성마제내번족적근기료효。방법：2010년8월～2012년9월채용Ponseti방법치료6개월이내선천성마제내번족39족，기중0～3개월21족，3～6개월18족。대소유환족진행Pirani평분，장0～0．5분판위우량，비교2조적우량솔、응용석고차수급근건절단수술솔。결과：2조환인우량솔무현저성차이（P＞0．05）。0～3개월조응용석고차수급근건절단수술솔비3～6개월조소，2조간유현저성차이（P＜0．05）。결론：Ponseti방법치료소영인선천성마제내번족효과만의，3개월이내시치료선천성마제내번족적최가년령。
Objective:To compare current results by using Ponseti method treating congenital talipes equinovarus ( CTE) in patients 0~3 months old and 3~6 months old.Methods:Thirty nine feet in cases younger than six months of CTE were treated with Ponseti meth-od from August, 2010 to September 2012.According to the age differences ,they were divided into younger infancy group (0~3 month, 21 feet) and older infancy group(3~6 month,18 feet).The deformation degree of CTE was evaluated by the Pirani scoring system .A sco-ring of 0-0.5 was regarded as being excellent .For each group,we evaluated the percentage of excellence result according to the Pirani score,the number of casts used ,and the percentage of percutaneous achillotenotomy .The result was compared between the two groups .Re-sults:The excellence rate showed no significant difference between the two groups (P>0.05).Both the number of casts used and the per-centage of percutaneous achillotenotomy in the younger infancy group were less than that in the older group .There was obvious difference between the two groups(P<0.05).Conclusion:Using Ponseti method can achieve excellent results for CTE in little infants .Less than 3 months is the best age for treatment of congenital talipes equinovarus .