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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Main Authors: Daniela Dibello, Giulia Colin, Anna Maria Chiara Galimberti, Lucio Torelli, Valentina Di Carlo
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/8/1134
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author Daniela Dibello
Giulia Colin
Anna Maria Chiara Galimberti
Lucio Torelli
Valentina Di Carlo
author_facet Daniela Dibello
Giulia Colin
Anna Maria Chiara Galimberti
Lucio Torelli
Valentina Di Carlo
author_sort Daniela Dibello
collection DOAJ
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 doaj.art-7e23edbabf054980bd5ed01b323df4422023-11-30T21:08:07ZengMDPI AGChildren2227-90672022-07-0198113410.3390/children9081134How to Cope with the Ponseti Method for Clubfoot: The Families’ StandpointDaniela Dibello0Giulia Colin1Anna Maria Chiara Galimberti2Lucio Torelli3Valentina Di Carlo4Unit of Pediatric Orthopedics, Traumatology Giovanni XXIII Children’s Hospital, 70126 Bari, ItalyUnit of Orthopaedics and Traumatology, University of Trieste, Strada di Fiume, 34149 Trieste, ItalyClinical Department of Pediatrics, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Via dell’Istria 65/1, 34137 Trieste, ItalyClinical Department of Medical, Surgical and Health Sciences University of Trieste, Strada di Fiume, 34149 Trieste, ItalyUnit of Paediatric Orthopaedics and Traumatology, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, Via dell’Istria, 34137 Trieste, Italy(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.https://www.mdpi.com/2227-9067/9/8/1134clubfootfamiliesPonseti methodquestionnaire
spellingShingle Daniela Dibello
Giulia Colin
Anna Maria Chiara Galimberti
Lucio Torelli
Valentina Di Carlo
How to Cope with the Ponseti Method for Clubfoot: The Families’ Standpoint
Children
clubfoot
families
Ponseti method
questionnaire
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 clubfoot
families
Ponseti method
questionnaire
url https://www.mdpi.com/2227-9067/9/8/1134
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