Pé torto congênito: resultados do método de Ponseti e barreiras na adesão ao uso da órtese
DOI:
https://doi.org/10.34119/bjhrv8n6-252Keywords:
clubfoot, treatment, pediatrics, orthothic devicesAbstract
O pé torto congênito (PTC) é uma das deformidades musculoesqueléticas mais frequentes e, apesar do método Ponseti apresentar altas taxas de sucesso, a adesão inadequada ao uso da órtese de abdução representa uma barreira relevante para o tratamento. Nesse contexto, o presente estudo tem como objetivo compreender os fatores que interferem na adesão e sua relação com os resultados clínicos. Para tanto, procede-se a uma revisão sistemática segundo o protocolo PRISMA, realizada nas bases PubMed, Lilacs e SciELO, utilizando os descritores “clubfoot AND treatment AND pediatrics”. Foram incluídos artigos originais, disponíveis integralmente e de acesso gratuito, que abordassem o tratamento do PTC em crianças e apresentassem desfechos clínicos do método Ponseti ou comparações com outras modalidades terapêuticas. Desse modo, observa-se que, entre os 254 artigos inicialmente identificados, 17 atenderam aos critérios, sendo 15 com dados completos de tratamento pelo Ponseti e 2 com foco específico na adesão à órtese. Os estudos indicam taxas iniciais de correção próximas a 90%, porém a não adesão à órtese se mostrou a principal causa de recidiva, frequentemente associada à falta de orientação familiar, dificuldades logísticas para acompanhamento e desconforto infantil. Dessa forma, conclui-se que o método Ponseti permanece como padrão-ouro, porém sua eficácia depende diretamente de comunicação clara, suporte contínuo aos cuidadores e estratégias para minimizar barreiras à adesão.
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