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How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint

(1) Background: The Ponseti Method is the gold standard for the treatment of congenital clubfoot. It is a low-cost treatment consisting in a series of plaster casts, a percutaneous Achilles’ tenotomy and a Mitchell Ponseti brace to wear with a definite protocol. This treatment allows children to be...

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Autores principales: Dibello, Daniela, Colin, Giulia, Galimberti, Anna Maria Chiara, Torelli, Lucio, Di Carlo, Valentina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406557/
https://www.ncbi.nlm.nih.gov/pubmed/36010025
http://dx.doi.org/10.3390/children9081134
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author Dibello, Daniela
Colin, Giulia
Galimberti, Anna Maria Chiara
Torelli, Lucio
Di Carlo, Valentina
author_facet Dibello, Daniela
Colin, Giulia
Galimberti, Anna Maria Chiara
Torelli, Lucio
Di Carlo, Valentina
author_sort Dibello, Daniela
collection PubMed
description (1) Background: The Ponseti Method is the gold standard for the treatment of congenital clubfoot. It is a low-cost treatment consisting in a series of plaster casts, a percutaneous Achilles’ tenotomy and a Mitchell Ponseti brace to wear with a definite protocol. This treatment allows children to be with their families instead of being hospitalized. This advantage is also a challenge for the families that have to follow the protocol at home. This paper aims to analyze the perception, the difficulties and the overcomes of the families during the treatment. (2) Methods: We used a 41 questions questionnaire by Nogueira and Morquende. Questions were answered by families who had already finished the treatment or were still following it. (3) Results: We interviewed 92 families. The worst handling phase appeared to be the cast phase, while the brace seemed more bearable. In total, 57 families overrated tenotomy; (4) Conclusions: Families perceived the Ponseti Method as a quality treatment. The anxiety about the diagnosis played a strong role, but none of the difficulties encountered decreased the treatment outcomes or affected families’ adherence to the protocol. The open-ended answers highlighted that the positive relationship with doctors played a key role in the everyday compliance and the achievement of good results.
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spelling pubmed-94065572022-08-26 How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint Dibello, Daniela Colin, Giulia Galimberti, Anna Maria Chiara Torelli, Lucio Di Carlo, Valentina Children (Basel) Article (1) Background: The Ponseti Method is the gold standard for the treatment of congenital clubfoot. It is a low-cost treatment consisting in a series of plaster casts, a percutaneous Achilles’ tenotomy and a Mitchell Ponseti brace to wear with a definite protocol. This treatment allows children to be with their families instead of being hospitalized. This advantage is also a challenge for the families that have to follow the protocol at home. This paper aims to analyze the perception, the difficulties and the overcomes of the families during the treatment. (2) Methods: We used a 41 questions questionnaire by Nogueira and Morquende. Questions were answered by families who had already finished the treatment or were still following it. (3) Results: We interviewed 92 families. The worst handling phase appeared to be the cast phase, while the brace seemed more bearable. In total, 57 families overrated tenotomy; (4) Conclusions: Families perceived the Ponseti Method as a quality treatment. The anxiety about the diagnosis played a strong role, but none of the difficulties encountered decreased the treatment outcomes or affected families’ adherence to the protocol. The open-ended answers highlighted that the positive relationship with doctors played a key role in the everyday compliance and the achievement of good results. MDPI 2022-07-29 /pmc/articles/PMC9406557/ /pubmed/36010025 http://dx.doi.org/10.3390/children9081134 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dibello, Daniela
Colin, Giulia
Galimberti, Anna Maria Chiara
Torelli, Lucio
Di Carlo, Valentina
How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint
title How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint
title_full How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint
title_fullStr How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint
title_full_unstemmed How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint
title_short How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint
title_sort how to cope with the ponseti method for clubfoot: the families’ standpoint
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406557/
https://www.ncbi.nlm.nih.gov/pubmed/36010025
http://dx.doi.org/10.3390/children9081134
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