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

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.

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

ProgramProgram

February 2nd and 3rd

Ponseti Seminars 2007Ponseti Seminars 2007

March 23rd and 24th

May 25th and 26th

June 15th and 16th

July 6th and 7th

August 17th and 18th

September 28th and 29

December 7th and 8th

November 23rd and 24th

Brazilian States with training in Ponseti technique

Belo Horizonte – july 2006Belo Horizonte – july 2006

25 participants25 participants

Project in Campina Grande in ParaíbaProject in Campina Grande in ParaíbaFebruary 19th and 10th, 200724 participants trained

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)

24 participants24 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

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

Free comments and sugestions:

“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”

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.

Ponseti SymposiumMarch 23rd and 24th, 2007Salvador, Bahia

Adriano Bono MendonçaCATO, INSBOT, HTOAna Maria dantas F. da Silva Anderson 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 Carvalho José Luiz Pedreira H. EspanholJosé Campos Cidade / AeroportoJosé Eduardo Freire Castellobranco de AraujoCOT

Liuz Antonio Alcantara de Oliveira H. UNIMED de Feira de Santana

Mauro 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

39 participants

They treated together 704 clubfeet (surgically) last year19/39 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: yes1: no2: did not answer

Do you believe that this symposium had modified your practice in treating clubfeet? 15: yes 4: no

Observações livres e sugestões

“ all the presentations, hands on sessions and round tables were very well presented – thank you”

“ 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. “

“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.

“to have other similar symposiums in our city in other

hospitals”

“The Symposium answered some of my doubts; it was interesting to observe some differences

among the instructors that not modify the results”

“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.”

“ I was already using Ponseti technique and we get surprised with the good results each patient gets.”

“ It is so rewarding”

“I believe the technique is going to be easily

spreaded, because it is less invasive and have

very good results”

“ 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!”

“no comments, very good”

Fortaleza – CearáUniversidade Federal do Ceará

June 1st and 2nd, 2007

40 participants trainedJacinta 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

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

EvaluationEvaluationThey 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?all: yes

Do you believe that this symposium had modified your practice in treating clubfeet? all: yes

Rio de Janeiro – RJRio de Janeiro – RJ

Hospital São ZachariasHospital São ZachariasJune15June15th th 1616thth, 2007, 2007

14 participantsBerliet Assad GomesBerliet Assad Gomes

Carmelo Ignacio M. SoletoCarmelo Ignacio M. Soleto

Christiane Ammari PaciuloChristiane Ammari Paciulo

Creso Genuino de Oliveira FilhoCreso Genuino de Oliveira Filho

Edgar Augusto Lisboa MagalhãesEdgar Augusto Lisboa Magalhães

Eduardo AzziEduardo Azzi

Fernando CerqueiraFernando Cerqueira

Frederico GenuinoFrederico Genuino

Helius Gurjão Greenhalgh de OliveiraHelius Gurjão Greenhalgh de Oliveira

Luís Gustavo Darezzo Martins de FrancaLuís Gustavo Darezzo Martins de Franca

Márcio José BimbatoMárcio José Bimbato

Marcelo Borner de AraujoMarcelo Borner de Araujo

Vinicius Silva LouriVinicius Silva Louri

Walter Victor Villarroce Walter Victor Villarroce

They treated together 230 clubfeet (surgically) last year10/14 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?

all: yes

Do you believe that this symposium had modified your practice in treating clubfeet?

all: yes

Evaluation