{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T09:28:07Z","timestamp":1780046887043,"version":"3.53.1"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003O p\u00e9 torto cong\u00eanito (PTC) \u00e9 uma das altera\u00e7\u00f5es ortop\u00e9dicas cong\u00eanitas que mais frequentemente necessita tratamento intensivo, e pouco se sabe o impacto desse tratamento no desenvolvimento motor. O presente estudo buscou avaliar se pacientes portadores de PTC tratados pelo m\u00e9todo de Ponseti desenvolvem a marcha mais tardiamente comparado a um grupo controle e analisar poss\u00edveis fatores relacionados.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Inclu\u00eddos pacientes nascidos a termo, com\u2009&lt;\u20096 meses de idade, sem tratamento pr\u00e9vio e com seguimento m\u00ednimo de 24 meses. O grupo controle foi de pacientes sem altera\u00e7\u00f5es musculoesquel\u00e9ticas, atendidos no mesmo per\u00edodo da realiza\u00e7\u00e3o do presente estudo.<\/jats:p><jats:p>\n          Resultados\u2003Um total de 97 pacientes formaram o grupo de estudo e 100 o grupo controle. A m\u00e9dia de idade no in\u00edcio da marcha no grupo de estudo foi de 14,7\u2009\u00b1\u20093,2 meses, e 12,6\u2009\u00b1\u20091,5 meses (p\u2009&lt;\u20090,05) no grupo controle. Fatores relacionados \u00e0 marcha tardia foram: idade de in\u00edcio do tratamento\u2009&gt;\u20093 semanas, n\u00famero de trocas gessadas\u2009&gt;\u20097, recidiva e n\u00e3o realiza\u00e7\u00e3o da tenotomia de Aquiles. Idade de in\u00edcio do tratamento\u2009&gt;\u20093 semanas esteve relacionada a maior n\u00famero de trocas de gessos. G\u00eanero e lateralidade n\u00e3o tiveram rela\u00e7\u00e3o com a marcha tardia.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Pacientes com PTC tratados com o m\u00e9todo de Ponseti apresentam marcha independente aproximadamente 2 meses mais tarde do que o grupo controle. In\u00edcio mais tardio do tratamento, maior n\u00famero de trocas de gessos, recidiva e n\u00e3o realiza\u00e7\u00e3o da tenotomia de Aquiles foram relacionados com atraso da marcha.<\/jats:p>","DOI":"10.1055\/s-0040-1709201","type":"journal-article","created":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T00:02:26Z","timestamp":1591660946000},"page":"637-641","source":"Crossref","is-referenced-by-count":3,"title":["A presen\u00e7a do p\u00e9 torto cong\u00eanito atrasa o in\u00edcio da marcha?"],"prefix":"10.1055","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1334-9757","authenticated-orcid":false,"given":"Ronan","family":"Bertinatto","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia Pedi\u00e1trica, Hospital Pequeno Pr\u00edncipe, Curitiba, PR, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3083-2735","authenticated-orcid":false,"given":"Edilson","family":"Forlin","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia Pedi\u00e1trica, Hospital Pequeno Pr\u00edncipe, Curitiba, PR, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7100-7424","authenticated-orcid":false,"given":"Leonardo","family":"Wustro","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia Pedi\u00e1trica, Hospital Pequeno Pr\u00edncipe, Curitiba, PR, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0145-9414","authenticated-orcid":false,"given":"Jacqueline Ojeda","family":"Tolotti","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia Pedi\u00e1trica, Hospital Pequeno Pr\u00edncipe, Curitiba, PR, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9246-9804","authenticated-orcid":false,"given":"Geovanna Andrade Labres","family":"de Souza","sequence":"additional","affiliation":[{"name":"Departamento de Medicina, Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1, Curitiba, PR, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"448","DOI":"10.2106\/00004623-199274030-00021","article-title":"Treatment of congenital club foot","volume":"74","author":"I V Ponseti","year":"1992","journal-title":"J Bone Joint Surg Am"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1007\/s11999-009-0734-9","article-title":"Update on clubfoot: etiology and treatment","volume":"467","author":"M B Dobbs","year":"2009","journal-title":"Clin Orthop Relat 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