Apresentação em tema: "Concept The brazilian project for congenital clubfoot treatment by Ponseti method was created to train orthopaedic surgeons in this effective and non expensive."— Transcrição da apresentação:
2 ConceptThe brazilian project for congenital clubfoot treatment by Ponseti method was created to train orthopaedic surgeons in this effective and non expensive technique of clubfoot correction.2 day workshop in 20 brazilian cities connected to regional centers of Sociedade Brasileira de Ortopedia e Traumatologia:Technique –Lecturestraining in cast applicationtendon Achillis tenotomies andfollow up with abduction braces
3 AimWe believe this course, with the material produced by Iowa, allow us to obtain the same good results of treatment of the Iowa group and many other hospitals in the world.The Ponseti method is cheap, efficient and it is our duty to make it accessible to any child with this deformity in our country.
4 Program Friday Opening Historical Background Ponseti method and technique descriptionVIdeo – Dr Ponseti: cast applicationCoffee breakPirani score and MRIRecurrences – how to recognize and treatComplex feetLimits of the techniqueLunchWorkshop – clubfoot models and patient demonstrationSaturdayCase presentation – patients - different phases of treatment
5 Ponseti Seminars 2007 August 17th and 18th September 28th and 29 May 25th and 26thDecember 7th and 8thFebruary 2nd and 3rdJuly 6th and 7thMarch 23rd and 24thNovember 23rd and 24thJune 15th and 16thBrazilian States with training in Ponseti technique
9 Project in Campina Grande in Paraíba February 19th and 10th, 200724 participants trained
10 Instructors:Dra Henriqueta Merlotti - Dr Reinaldo Volpi -Dra Monica NogueiraOrganized with the help of- Cooperativa dos Ortopedistas e Traumatologistas de Campina Grande – COOTAC ( 35 members),and- Waerson José de Souza e Dr Arlindo Carvalho do Nascimento.Hotel Village, Campina Grande.- UNIMED (508 cooperated) - Dr Francisco Vieira OliveiraLocal support:Merck : coffee break.Local mídia: rádio Campina FM,Jornais Correio da Paraíba e Jornal da ParaíbaTV Borborema (SBT) e a TV Paraíba (Globo)
11 24 participants Participantes: Dr Ericsson Albuquerque Marques – Campina Grande – PBDr Crismarcos Rodrigues da Silva – Campina Grande – PBDr Aurélio Sergio Santos Melo – Caruaru – PETeresinha Lemos – Campina Grande – PBTemistoles Ribeiro – Campina Grande – PBLuciano Medeiros Lima – Campina Grande – PBRailton Marinho da Costa – Campina Grande – PBManoel Beirão Boulitreau – João Pessoa – PBSchubert Luigi Costa Rodrigues – Campina Grande – PBFrancisco Vieira de Oliveira – Campina Grande- PBKalyana Eduardo Fernandes – Natal - RNBenedito Fernandes Brilhante –Campina Grande – PBFabio Cariry Carvalho – Campina Grande –PBOrlando Cavalcanti Farias Filho – João Pessoa – PBAlexandre Cesar Santos Melo – Caruaru – PEArlindo Carvalho do Nascimento – Campina Grande – PBAdalberto Cavalcanti Albuquerque – Campina Grande – PBAltamir Cavalcanti - Recife – PEMarcio Alberto de Lima Cavalcanti – Recife –PEFrancisco Pereira de Paula – Campina Grande – PBCleanto Pio de Sales Chaves – Campina Grande – PBRené Gomes da Silva – Campina Grande – PBAdemir Costa Wanderley – Campina Grande – PBJosé Bismarck Fernández – Campina Grande – PB
12 Together, they treated (surgically) 168 clubfeet last year. 10/24 answered the evaluation formsDid the Ponseti Symposium addressed your expectations?zero: no5 : yes5: overcameWas the Ponseti technique well explained?all: yesWith this symposium information, do you believe you are able to treat clubfoot patients with Ponseti technique?9: YesDo you believe that this symposium had modified your practice in treating clubfeet?All 10: yes
13 Free comments and sugestions: “great presentation and objetivity” “more patients to treat with cast during course”“that instructors can come back to solve any doubts after beginning of treatment“great presentation and objetivity”“to return to our place from time to time”“that a follow up of our treatments could be done in 18 months from now”“my sugestion is to have a brace model to be copied by other orthopaedic shops”“The Ponseti technique will revolutionate the clubfoot treatment”“instructors enthusiastic and compromissed in teaching the technique”“patients treated before with surgeries, with recurred deformities - very good to know that this method is indicated to correct these deformities”
24 Ponseti Symposium March 23rd and 24th, 2007 Salvador, Bahia InstructorsAna Paula Gabrieli, Francisco Violante, Monica Nogueira39 participants trainedLocal organization:SBOT BahiaHospital Martagão Gesteira,Fernando Garcia and Gullermo Tierno.Local support:Merck: coffee break.
25 39 participants Adriano Bono MendonçaCATO, INSBOT, HTO Ana Maria dantas F. da SilvaAnderson Lôbo Bisdãoresidente ortopedia - H. EspanholAndrier Farias de AndradeHUPESAntônio Luiz Gonçalves Brandão H. da criança (OSID) - COT - H. Santa HelenaBruno Vieira Pinto Da SilvaH. Santa IzabelBraulio Campos Eranqui H. das clínicas / H. Ernesto LerestesBarbara Daniela Couto AraújoHUPESCarlos Alberto Almeida de AssunçãoSanta casaDaniel Figueiredo Alencar HCEmerson de Souza Matos GadeaCOTEduardo T RochaAliançaFernado GarciaH. das Clínicas / H. M H. PortuguêsGuilherme Oscar Alexandre Tierno / EspanholGildasio de Cerqueira Daltdo H. das ClínicasGilberto Ulisses Leal Alves HUPESIri Carten Searfino Faria H. PortuguesItana Nogueira de AraujoJosé Henrique Pontes de CarvalhoJosé Luiz Pedreira H. EspanholJosé Campos Cidade / AeroportoJosé Eduardo Freire Castellobranco de AraujoCOTLiuz Antonio Alcantara de Oliveira H. UNIMED de Feira de SantanaMauro de Freitas Fontes Filho COT – MartagãoMauricio Melo MoreiraCOT – MartagãoMarcus Vinicius B. Marques H. EspanholMarcos Antonio Almeida Matos Santa Casa Miser. Bahia / Escola.Baiana de MedicinaMilena Oliveira Silva Cruz COTOsvaldo Souza Jr.Pedro Henrique Marques de AlmeidaPaulo Henrique Figueredo Cordeiro HUPES / HMI / HRIRosana Rego Vaz (Fisio)HMGRodrigo Pereira de Souza FlorencioHUPESRoberto Flavio Aguiar AssisMartagâo e Ortoped.Tulio Eduardo M. VieiraCOT – MartagãoTiago Dórea R. Falcão HUPESUirassu Batista SobrinhoHUPES - H. das ClínicasWalter Petersen Jr.COT – MartagãoWashington G. Damasceno Martagão Gesteira
26 They treated together 704 clubfeet (surgically) last year 19/39 answered the evaluation formsDid the Ponseti Symposium addressed your expectations?zero: no12 : yes7: overcameWas the Ponseti technique well explained?all: yesWith this symposium information, do you believe you are able to treat clubfoot patients with Ponseti technique?16: yes1: no2: did not answerDo you believe that this symposium had modified your practice in treating clubfeet?15: yes4: no
27 Observações livres e sugestões “I believe the technique is going to be easily spreaded, because it is less invasive and have very good results”“ I was already using Ponseti technique and we get surprised with the good results each patient gets.”“The hands on could be done in smaller groups so that everybody could apply casts under supervision”“that would be good to have more patients for the hands on session.”“ It is so rewarding”“no comments, very good”“ all the presentations, hands on sessions and round tables were very well presented – thank you”“we would like this symposium in our hospital next time” - H. Santa Izabel (Ribot). Bruno Viera - R4 Orthopaedic Departament. Director: Dr. Flávio. Coordenator: Dr. Marcos Almeida.“ It´s a good time for my clubfoot patients. I´m convinced. Now I know that the method is, today, the better alternative. The course was very clarifying. ““to have other similar symposiums in our city in other hospitals”“ very usefull, in appication and motivation for us, residents.” “I suggest the instructors could come back after 1 year to follow up the cases. I would like to congratulate the team for this course. Come back soon to Salvador!”“The Symposium answered some of my doubts; it was interesting to observe some differences among the instructors that not modify the results”
39 Fortaleza – Ceará Universidade Federal do Ceará June 1st and 2nd, 2007
40 40 participants trained Alderico Girão Campos de Barros Alipio Carmo Neto SegundoAndré Luis Lopes Gomes SiqueiraAntonio José Alencar de CastroAnselmo Martim deAraújo FilhoBertrand AgraBruno de Brito BotelhoCarolina Quezado NegreirosClaudio Kalume ReisDaniel Araújo CostaDavi Moshe Leopold LopesEdilmar Ferreira LessaFrancisco Fábio Sousa SilvestreFrancisco Frota Pinto JuniorFrancisco Josafá FernandesFrancisco Kartney Sarmento PedrosaFrancisco Rodrigo Tavares LinharesGabriel Franco MaiaClauco Roberto de Alencar BarretoHelladio de Vasconcellos F. JuniorJacinta Maria da Silva PradoJosé Eduardo de O. MirandaJosé Guilherme Mutão MacielJosé Nami Jereissati TajnaJose Roberto Campos de BarrosJosé Tomaz de LimaJulio Cesar Chagas e CavalcanteLauro Cosme dos Reis FilhoLeonardo Pierre QuentalLuciando Cabral MoreiraLuiz Holanda Pinto NetoLuiz Lopes LimaManuel Bomfim Braga JuniorMarco Antonio R. AfonsoMaria Carolina Prado GonçalvesMaurício Cavalcanti Gomes de Souza CarvalhoMoacir de Alencar Araripe NetoPaulo Gordano Daima ColaresRoberto Bruno FilhoRoberto Vagner Souza de Carvalho
41 They treated together 307clubfeet (surgically) last year EvaluationThey treated together 307clubfeet (surgically) last year22/40 answered the evaluation formsDid the Ponseti Symposium addressed your expectations?zero: no12 : yes10: overcameWas the Ponseti technique well explained?all: yesWith this symposium information, do you believe you are able to treat clubfoot patients with Ponseti technique?Do you believe that this symposium had modified your practice in treating clubfeet?
44 Rio de Janeiro – RJHospital São ZachariasJune15th 16th, 2007
45 14 participants Berliet Assad Gomes Carmelo Ignacio M. Soleto Christiane Ammari PaciuloCreso Genuino de Oliveira FilhoEdgar Augusto Lisboa MagalhãesEduardo AzziFernando CerqueiraFrederico GenuinoHelius Gurjão Greenhalgh de OliveiraLuís Gustavo Darezzo Martins de FrancaMárcio José BimbatoMarcelo Borner de AraujoVinicius Silva LouriWalter Victor Villarroce
46 Evaluation They treated together 230 clubfeet (surgically) last year 10/14 answered the evaluation formsDid the Ponseti Symposium addressed your expectations?zero: no3: yes7: overcameWas the Ponseti technique well explained?all: yesWith this symposium information, do you believe you are able to treat clubfoot patients with Ponseti technique?Do you believe that this symposium had modified your practice in treating clubfeet?