Concept The brazilian project for congenital clubfoot treatment by Ponseti method was created to train orthopaedic surgeons in this effective and non expensive.

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:

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2 Concept The 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 – Lectures training in cast application tendon Achillis tenotomies and follow up with abduction braces

3 Aim We 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 description VIdeo – Dr Ponseti: cast application Coffee break Pirani score and MRI Recurrences – how to recognize and treat Complex feet Limits of the technique Lunch Workshop – clubfoot models and patient demonstration Saturday Case presentation – patients - different phases of treatment

5 Ponseti Seminars 2007 August 17th and 18th September 28th and 29
May 25th and 26th December 7th and 8th February 2nd and 3rd July 6th and 7th March 23rd and 24th November 23rd and 24th June 15th and 16th Brazilian States with training in Ponseti technique

6 Belo Horizonte – july 2006

7 25 participants

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9 Project in Campina Grande in Paraíba
February 19th and 10th, 2007 24 participants trained

10 Instructors: Dra Henriqueta Merlotti - Dr Reinaldo Volpi -Dra Monica Nogueira Organized 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 Oliveira Local support: Merck : coffee break. Local mídia: rádio Campina FM, Jornais Correio da Paraíba e Jornal da Paraíba TV Borborema (SBT) e a TV Paraíba (Globo)

11 24 participants Participantes:
Dr Ericsson Albuquerque Marques – Campina Grande – PB Dr Crismarcos Rodrigues da Silva – Campina Grande – PB Dr Aurélio Sergio Santos Melo – Caruaru – PE Teresinha Lemos – Campina Grande – PB Temistoles Ribeiro – Campina Grande – PB Luciano Medeiros Lima – Campina Grande – PB Railton Marinho da Costa – Campina Grande – PB Manoel Beirão Boulitreau – João Pessoa – PB Schubert Luigi Costa Rodrigues – Campina Grande – PB Francisco Vieira de Oliveira – Campina Grande- PB Kalyana Eduardo Fernandes – Natal - RN Benedito Fernandes Brilhante –Campina Grande – PB Fabio Cariry Carvalho – Campina Grande –PB Orlando Cavalcanti Farias Filho – João Pessoa – PB Alexandre Cesar Santos Melo – Caruaru – PE Arlindo Carvalho do Nascimento – Campina Grande – PB Adalberto Cavalcanti Albuquerque – Campina Grande – PB Altamir Cavalcanti - Recife – PE Marcio Alberto de Lima Cavalcanti – Recife –PE Francisco Pereira de Paula – Campina Grande – PB Cleanto Pio de Sales Chaves – Campina Grande – PB René Gomes da Silva – Campina Grande – PB Ademir Costa Wanderley – Campina Grande – PB José Bismarck Fernández – Campina Grande – PB

12 Together, they treated (surgically) 168 clubfeet last year.
10/24 answered the evaluation forms Did the Ponseti Symposium addressed your expectations? zero: no 5 : yes 5: overcame Was the Ponseti technique well explained? all: yes With this symposium information, do you believe you are able to treat clubfoot patients with Ponseti technique? 9: Yes Do 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”

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24 Ponseti Symposium March 23rd and 24th, 2007 Salvador, Bahia
Instructors Ana Paula Gabrieli, Francisco Violante, Monica Nogueira 39 participants trained Local organization: SBOT Bahia Hospital 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 Silva Anderson Lôbo Bisdãoresidente ortopedia - H. Espanhol Andrier Farias de AndradeHUPES Antônio Luiz Gonçalves Brandão H. da criança (OSID) - COT - H. Santa Helena Bruno Vieira Pinto Da SilvaH. Santa Izabel Braulio Campos Eranqui H. das clínicas / H. Ernesto Lerestes Barbara Daniela Couto AraújoHUPES Carlos Alberto Almeida de AssunçãoSanta casa Daniel Figueiredo Alencar HC Emerson de Souza Matos GadeaCOT Eduardo T RochaAliança Fernado GarciaH. das Clínicas / H. M H. Português Guilherme Oscar Alexandre Tierno / Espanhol Gildasio de Cerqueira Daltdo H. das Clínicas Gilberto Ulisses Leal Alves HUPES Iri Carten Searfino Faria H. Portugues Itana Nogueira de Araujo José Henrique Pontes de Carvalho José Luiz Pedreira H. Espanhol José Campos Cidade / Aeroporto José Eduardo Freire Castellobranco de AraujoCOT Liuz Antonio Alcantara de Oliveira H. UNIMED de Feira de Santana Mauro de Freitas Fontes Filho COT – Martagão Mauricio Melo MoreiraCOT – Martagão Marcus Vinicius B. Marques H. Espanhol Marcos Antonio Almeida Matos Santa Casa Miser. Bahia / Escola.Baiana de Medicina Milena Oliveira Silva Cruz COTOsvaldo Souza Jr. Pedro Henrique Marques de Almeida Paulo Henrique Figueredo Cordeiro HUPES / HMI / HRI Rosana Rego Vaz (Fisio)HMG Rodrigo Pereira de Souza FlorencioHUPES Roberto Flavio Aguiar AssisMartagâo e Ortoped. Tulio Eduardo M. VieiraCOT – Martagão Tiago Dórea R. Falcão HUPES Uirassu Batista SobrinhoHUPES - H. das Clínicas Walter Petersen Jr.COT – Martagão Washington G. Damasceno Martagão Gesteira

26 They treated together 704 clubfeet (surgically) last year
19/39 answered the evaluation forms Did the Ponseti Symposium addressed your expectations? zero: no 12 : yes 7: overcame Was the Ponseti technique well explained? all: yes With this symposium information, do you believe you are able to treat clubfoot patients with Ponseti technique? 16: yes 1: no 2: did not answer Do you believe that this symposium had modified your practice in treating clubfeet? 15: yes 4: 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”

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39 Fortaleza – Ceará Universidade Federal do Ceará June 1st and 2nd, 2007

40 40 participants trained Alderico Girão Campos de Barros
Alipio Carmo Neto Segundo André Luis Lopes Gomes Siqueira Antonio José Alencar de Castro Anselmo Martim deAraújo Filho Bertrand Agra Bruno de Brito Botelho Carolina Quezado Negreiros Claudio Kalume Reis Daniel Araújo Costa Davi Moshe Leopold Lopes Edilmar Ferreira Lessa Francisco Fábio Sousa Silvestre Francisco Frota Pinto Junior Francisco Josafá Fernandes Francisco Kartney Sarmento Pedrosa Francisco Rodrigo Tavares Linhares Gabriel Franco Maia Clauco Roberto de Alencar Barreto Helladio de Vasconcellos F. Junior Jacinta Maria da Silva Prado José Eduardo de O. Miranda José Guilherme Mutão Maciel José Nami Jereissati Tajna Jose Roberto Campos de Barros José Tomaz de Lima Julio Cesar Chagas e Cavalcante Lauro Cosme dos Reis Filho Leonardo Pierre Quental Luciando Cabral Moreira Luiz Holanda Pinto Neto Luiz Lopes Lima Manuel Bomfim Braga Junior Marco Antonio R. Afonso Maria Carolina Prado Gonçalves Maurício Cavalcanti Gomes de Souza Carvalho Moacir de Alencar Araripe Neto Paulo Gordano Daima Colares Roberto Bruno Filho Roberto Vagner Souza de Carvalho

41 They treated together 307clubfeet (surgically) last year
Evaluation They treated together 307clubfeet (surgically) last year 22/40 answered the evaluation forms Did the Ponseti Symposium addressed your expectations? zero: no 12 : yes 10: overcame Was the Ponseti technique well explained? all: yes With 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?

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44 Rio de Janeiro – RJ Hospital São Zacharias June15th 16th, 2007

45 14 participants Berliet Assad Gomes Carmelo Ignacio M. Soleto
Christiane Ammari Paciulo Creso Genuino de Oliveira Filho Edgar Augusto Lisboa Magalhães Eduardo Azzi Fernando Cerqueira Frederico Genuino Helius Gurjão Greenhalgh de Oliveira Luís Gustavo Darezzo Martins de Franca Márcio José Bimbato Marcelo Borner de Araujo Vinicius Silva Louri Walter Victor Villarroce

46 Evaluation They treated together 230 clubfeet (surgically) last year
10/14 answered the evaluation forms Did the Ponseti Symposium addressed your expectations? zero: no 3: yes 7: overcame Was the Ponseti technique well explained? all: yes With 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?

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