Hasil Pencarian  ::  Simpan CSV :: Kembali

"CTEV idiopatik memiliki tingkat keberhasilan koreksi awal yang tinggi menggunakan metode Ponseti (90%), namun angka rekurensi tetap signifikan (3,7%–67,3%), terutama akibat ketidakpatuhan terhadap penggunaan foot abduction orthosis (FAO). FAO direkomendasikan digunakan selama 4 tahun, tetapi penelitian Iowa menunjukkan pemakaian selama 2 tahun menghasilkan angka rekurensi 56%, artinya 44% pasien tidak mengalami rekurensi meskipun hanya menggunakan FAO selama 2 tahun. Penelitian ini bertujuan menganalisis skala maturasi medial malleolus, talus dan kalkaneus pada pasien CTEV idiopatik yang menjalani tahap pemeliharaan protokol Ponseti. Penelitian dilakukan dengan desain potong lintang pada 20 pasien usia 2 dan 4 tahun di RSUPN Cipto Mangunkusumo (2018-2023) menggunakan ultrasonografi. Hasil menunjukkan skala maturasi medial malleolus (108,1%) dan talus (93,6%) lebih tinggi pada usia 2 tahun dibanding usia 4 tahun (99,9% dan 75,7%), sedangkan kalkaneus lebih tinggi pada usia 4 tahun (111,9%) dibanding usia 2 tahun (95,8%). Perbedaan ini tidak signifikan secara statistik (p>0,05). Faktor jenis kelamin menunjukkan hubungan signifikan (p<0,05), di mana laki-laki memiliki skala maturasi medial malleolus lebih tinggi dibanding perempuan. Kesimpulannya, tidak terdapat perbedaan bermakna pada skala maturasi antar kelompok usia, tetapi jenis kelamin memengaruhi skala maturasi medial malleolus

---

Idiopathic CTEV has a high initial correction success rate using the Ponseti method (90%), but recurrence rates remain significant (3.7%–67.3%), primarily due to noncompliance with Foot Abduction Orthosis (FAO) usage. FAO is recommended for 4 years, but a study in Iowa found that 2 years of FAO usage resulted in a recurrence rate of 56%, indicating that 44% of patients did not experience recurrence despite using FAO for only 2 years. This study aims to analyze the maturation scale of the medial malleolus, calcaneus, and talus in idiopathic CTEV patients undergoing the maintenance stage of the Ponseti protocol with FAO. This cross-sectional study included 20 patients aged 2 and 4 years at RSUPN Cipto Mangunkusumo (2018–2023) using ultrasonographic examinations. Results showed that the medial malleolus (108.1%) and talus (93.6%) maturation scales were higher in the 2-year age group compared to the 4-year group (99.9% and 75.7%), while the calcaneus maturation scale was higher in the 4-year group (111.9%) than the 2-year group (95.8%). These differences were not statistically significant (p>0.05). Among analyzed factors, only gender showed a significant relationship (p<0.05), with males having a higher medial malleolus maturation scale than females. In conclusion, there were no significant differences in maturation scales between age groups, but gender influenced the medial malleolus maturation scale."

"The most complex fields are often the most challenging to teach; thankfully, Principles and Management of Pediatric Foot and Ankle Deformities and Malformations was written by the most renowned teacher in pediatric foot and ankle surgery, offering orthopedists, foot and ankle surgeons and podiatrists an invaluable and comprehensive guide to the assessment and treatment of children's feet. This text was designed to be practical, accessible, and immediately applicable-focusing on principles of treatment rather than reductive ""cookbook"" approaches that privilege piecemeal techniques over holist"