Effectiveness of the Ponseti Method in the Treatment of Clubfoot: A Systematic Review

López-Carrero, Elena; Castillo-López, José M.; Medina-Alcántara, Miguel; Domínguez-Maldonado, Gabriel; García-Paya, Irene; Jiménez-Cebrián, Ana María

doi:10.3390/ijerph20043714

Cited by 7 publications

(10 citation statements)

References 17 publications

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“…The success rates and relapse rates were noted to vary greatly between studies, and this may be attributed to various additional factors. It was demonstrated that the success of the Ponseti method depends on age, gender, and early diagnosis [1]. Conservative treatment in the first weeks of life has been recommended for clubfoot [3,8,11,27].…”

Section: Discussionmentioning

confidence: 99%

“…Clubfoot is a congenital deformity of the lower extremities [1]. This condition affects the musculoskeletal structures of the foot, including the equinus, varus, cavus, and adducts [2].…”

Section: Introductionmentioning

confidence: 99%

“…The Ponseti method has been considered the gold standard for the treatment of clubfoot as it is safe and effective. It is based on gentle and repetitive manipulations to stretch the soft tissues progressively, followed by weekly cast immobilization [1]. This systematic review explored various published articles on the topic to assess the success rates and relapse rates in patients treated for clubfoot with the Ponseti method.…”

Section: Introductionmentioning

confidence: 99%

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The Efficacy of the Ponseti Method in the Management of Clubfoot: A Systematic Review

Maghfuri,

Alshareef

2024

Cureus

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Clubfoot is a congenital abnormality of the lower extremities, and it may be unilateral or bilateral. Left untreated, it may lead to issues with walking. Additionally, inappropriate treatment or the lack of treatment can result in functional damage. The goal of clubfoot treatment is to correct the deformities of the involved components. The Ponseti method has been regarded as the gold standard for the treatment of clubfoot as it is safe and effective. In this review, we aimed to assess the success of the Ponseti method in the treatment of clubfoot by reviewing the previous studies on this subject. We searched electronic databases, including PubMed, Scopus, Science Direct, and Google Scholar, for relevant articles spanning the period from 2018 to 2023. The keywords used in the search were "Ponseti method, Treatment, Outcomes, Success, Relapse, Failure, and Rates." The inclusion criteria were original articles in English on clubfoot patients treated with the Ponseti method.While our search yielded a total of 1,037 articles, only nine were deemed eligible for analysis based on the inclusion criteria. The articles involved a total of 537 feet of 358 patients and the age of the patients ranged from one day to five years. The success rate ranged between 55% and 100%, and the relapse rate ranged between 3.2% and 34.2%. Based on our findings, the Ponseti method has a high success rate in the treatment of idiopathic clubfoot, and hence it is an excellent conservative method of treatment. However, there are additional factors that may affect the treatment outcomes, which need to be taken into account.

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Section: Discussionmentioning

confidence: 99%

“…Clubfoot is a congenital deformity of the lower extremities [1]. This condition affects the musculoskeletal structures of the foot, including the equinus, varus, cavus, and adducts [2].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Efficacy of the Ponseti Method in the Management of Clubfoot: A Systematic Review

Maghfuri,

Alshareef

2024

Cureus

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“…The biomechanics of the Ponseti method have been studied extensively, and research has shown that this approach is highly effective, with up to 95% success rates. Related studies have also shown that the Ponseti method leads to better long-term outcomes and fewer complications than traditional surgical approaches [ 8 , 9 , 10 ]. Recently, nearly all orthopedics have agreed that conservative treatment is the best choice to correct CF [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The Incidence of Clubfoot in the Czech Republic: A Nationwide Epidemiological Study from 2000 to 2014

2023

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Clubfoot is one of the most common musculoskeletal birth deformities worldwide. The prevalence varies among individual countries and populations. There is a lack of nationwide incidence studies in Central Europe. We analyzed the incidence of clubfoot in the Czech Republic over 14 years. Patients born with clubfoot in the Czech Republic were identified using The National Registry of Congenital Anomalies. Demographic data were included. Data from 2000 to 2014 were collected and analyzed regarding gender and regional distribution. The study’s chosen time frame was grounded on the condition of the Czech industry. Following extensive transformations in 1989, the industry eliminated highly non-ecological operations with significant environmental impact and related health risks. The incidence of clubfoot during the study period was 1.9 (95% CI 1.8–2.0) per 1000 births; males comprised the majority (59%). The incidence significantly differed among individual regions of the Czech Republic (p < 0.001). The incidence in the Czech Republic was higher than in previous European studies. We found significant regional differences in incidence, which could indicate that there may be exogenous pathogenic factors. For this reason, we plan to follow up our work with an up-to-date study.

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“…It proved to be a valuable clinical tool, without including elements of local functional status, radiological picures or walking status. The Ponseti method is the standard conservative treatment for patients with TEV, initially designed by Prof. Ignacvio Ponseti in Iowa and then adopted in many pediatric orthopedic centers (7)(8)(9)(10). It is recommended to start the Ponseti tratment as soon as possibly after birth in childen with TEV.…”

mentioning

confidence: 99%

Clinical management of clubfoot in the ambulatory setting- our 2- year experience with 20 patients

Haidamac,

Craciun,

Bandac

et al. 2022

SAM

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Assessment of conservative treatment using the Ponseti method in children with congenital talipes equino-varus (clubfoot), diagnosed and treated as outpatients in the ambulatory clinic of the County Hospital from Suceava, Romania.Retrospective study over a 2-year tine interval (2021-2023) including children with idiopathic clubfoot who were treated in the Pediatric Surgery Ambulatory Clinic. Demographic information, (age, sex), clinical data related to the TEV and detailed information regarding the treatment using the Ponseti method were analyzed. Only cases of idiopathic clubfoot who entirely received their treatment in our clinic were included in the study. 44 children with clubfoot were identified, of which only 20 (16 boys and 4 girls) met the inclusion criteria; 15 patients had bilateral clubfoot and 5 had unilateral clubfoot. The number of corrective cast immobilizations before Achilles' tendon tenotomy was 4 in 2 children, 5 in 16 children, and 6 in 2 children. Patients were evaluated and monitored by means of the Pirani score, applied at the beginning of treatment and before tenotomy. The tenotomy was followed by cast immobilization for 21 days. Dennis Browne orthosis was subsequently applied. Only one patient abandoned the treatment after applying 5 casts, just before tenotomy. In one patient the equinus correction was incomplete. There were no operative or cast-related complications.The Ponseti method can be performed, with very good results as outpatient treatment. It requires an appropriate trained orthopedic team (orthopedic surgeon, nurse and prosthetic specialist) with experience in carrying out this type of treatment, adequate equipment and compliance from the parents.

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Effectiveness of the Ponseti Method in the Treatment of Clubfoot: A Systematic Review

Cited by 7 publications

References 17 publications

The Efficacy of the Ponseti Method in the Management of Clubfoot: A Systematic Review

The Efficacy of the Ponseti Method in the Management of Clubfoot: A Systematic Review

The Incidence of Clubfoot in the Czech Republic: A Nationwide Epidemiological Study from 2000 to 2014

Clinical management of clubfoot in the ambulatory setting- our 2- year experience with 20 patients

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