An Independent Assessment of Two Clubfoot-Classification Systems

Resource Utilization in Clubfoot Management

“…We prospectively collected clinical data at each clinic visit using a templated data sheet (Appendix 1). At the time of presentation, the clubfoot deformities were graded using the validated 6-point scale of Pirani et al [9]. This was typically performed by either one of the senior authors or the clubfoot nurse specialist.…”

Update on Clubfoot: Etiology and Treatment

“…Both systems apply a point score based on a number of different physical findings, which when totaled lead to a score that correlates with clubfoot severity. Good correlation between the two systems has been demonstrated [25].…”

Ponseti Treatment for Idiopathic Clubfoot: Minimum 5-year Followup

“…At the time of presentation, the clubfoot deformities were graded with the Pirani six-point initial severity score [12,13]. The score was obtained at initial evaluation for 101 of the 117 total feet in the series.…”

“…We asked (1) if the populations were comparable at our two centers (to justify combining them); (2) if the number of casts required was associated with age at presentation (28 days or younger or older than 28 days); (3) if the number of casts applied was associated with the severity of the initial Pirani severity score [12,13] at presentation; (4) if the need for additional surgery was Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.…”