中国“健步行动”迈出稳健步伐—中国马蹄内翻足专项行动这十年

China task force takes its steady steps in "Healthy Walk" —on China Club Foot Project during the past decade

摘要:

先天性马蹄内翻足是常见出生缺陷畸形之一，以往以手术治疗为主，治疗创伤大，易出现关节僵硬、疼痛、功能受限和早发性骨性关节炎等问题。美国潘塞缇(Ponseti)医生倡导的马蹄内翻足非手术治疗方法，经过几十年的长期随访研究证实，可以使患者获得无痛、灵活、有力的足踝，很大程度上避免了手术治疗带来的并发症和相关后遗问题。通过国际交流，国内学者认识到潘塞缇方法的优势和价值，建立了马蹄内翻足专项团队，提出“健步行动”计划。过去十余年经历了理念转变、 知识传播、技术培训、患者家长主动参与以及不断将项目目标和实现步骤具体化的工作。

关键词:先天性马蹄内翻足;矫正;手术;潘塞缇方法

Abstract:

Congenital clubfoot is one of the most common birth defects. In the past, surgery was the main choice of treatment, which might lead to joint stiffness, pain, functional limitation, early onset osteoarthritis and other problems. After decades of long-term follow-up studies, it has been demonstrated that the patients can obtain the painless, flexible and strong foot and ankle with the treatment using the non-surgical method advocated by Dr. Ponseti from the United States, and the complications and sequalae caused by surgical treatment can be avoided to the significant extent. Through international exchanges, the clinicians in China recognized the advantages and value of Ponseti method, organized a special team for spreading the method, and implement the “Healthy Walk” project. A change in philosophy and knowledge dissemination, technical training, active participation of patients' parents, and continuous concretization of the project's goals and implementation steps occurred during the past ten years.

Key words:congenital clubfoot; correction; surgery; Ponseti method