Is Ponseti's method superior to Kite's for clubfoot treatment he?

Selmani, Edvin

doi:10.1007/s12570-012-0116-8

Cited by 15 publications

(44 citation statements)

References 17 publications

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“…The bar-connected brace was prescribed in seven studies as suggested by the Ponseti method [2,19,21,34,46,50,52]. In four studies, the type and design of brace were partly or completely different from those suggested in the original method [20,21,26,44].…”

Section: Resultsmentioning

confidence: 99%

“…In four studies, the type and design of brace were partly or completely different from those suggested in the original method [20,21,26,44]. In 15 studies, the brace protocols were described precisely [1, 2, 17-19, 21, 26, 34-36, 43, 45, 46, 50, 52], however, in three of these studies, the protocols were presented differently from the others [18,26,46]. The criterion was described in only eight studies for the judgment of bracing compliance [1,2,18,26,34,36,43,44], and the criterion in each study was different ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…The criterion was described in only eight studies for the judgment of bracing compliance [1,2,18,26,34,36,43,44], and the criterion in each study was different ( Table 1). The definition of relapse was introduced, but varied in eight studies [2,7,17,34,35,43,46,50] (Table 1). The same indications were used for treatment of relapsed clubfoot in 10 studies [1, 2, 7, 19-21, 34, 46, 50, 52], whereas different indications were used in seven studies in which the patients did not have additional manipulations and casts used [17,23,26,35,36,43,45].…”

Section: Resultsmentioning

confidence: 99%

“…Most identified studies were considered to be of very low-grade quality according to GRADE criteria [3] owing to their observational nature. There were five case-control studies [2,7,19,21,43], 12 case series studies [1, 17, 18, 20, 23, 26, 34-36, 44, 45, 52], and only two lesser-quality randomized controlled trials [46,50] in the 19 studies. The mean age of the patients at presentation ranged from 2 days to 8.9 years.…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

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Results of Clubfoot Management Using the Ponseti Method: Do the Details Matter? A Systematic Review

Zhao

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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We found that the observed clinically important variation may have been the result of deviations from the details regarding manipulation, casting, percutaneous Achilles tenotomy, use of the bar-connected brace, and indication for relapse recognition and management recommended for the classic Ponseti approach to clubfoot management. We strongly recommend that clinicians follow the Ponseti method as it initially was described without deviation to optimize treatment outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Search Strategy and Criteriamentioning

confidence: 99%

See 2 more Smart Citations

Results of Clubfoot Management Using the Ponseti Method: Do the Details Matter? A Systematic Review

Zhao

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…Five studies [50, 55–57, 59] used Kite method techniques to compare with the Ponseti method in the correction of clubfoot. These studies reported that Ponseti method achieved the initial correction in shorter time and used fewer casts than the Kite method.…”

Section: Discussionmentioning

confidence: 99%

Ponseti method in the management of clubfoot under 2 years of age: A systematic review

et al. 2017

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BackgroundCongenital talipes equinovarus (CTEV), also known as clubfoot, is common congenital orthopedic foot deformity in children characterized by four components of foot deformities: hindfoot equinus, hindfoot varus, midfoot cavus, and forefoot adduction. Although a number of conservative and surgical methods have been proposed to correct the clubfoot deformity, the relapses of the clubfoot are not uncommon. Several previous literatures discussed about the technical details of Ponseti method, adherence of Ponseti protocol among walking age or older children. However there is a necessity to investigate the relapse pattern, compliance of bracing, number of casts used in treatment and the percentages of surgical referral under two years of age for clear understanding and better practice to achieve successful outcome without or reduce relapse. Therefore this study aims to review the current evidence of Ponseti method (manipulation, casting, percutaneous Achilles tenotomy, and bracing) in the management of clubfoot under two years of age.Materials and methodsArticles were searched from 2000 to 2015, in the following databases to identify the effectiveness of Ponseti method treatment for clubfoot: Medline, Cumulative Index to Nursing and Allied Health Literature (CINHAL), PubMed, and Scopus. The database searches were limited to articles published in English, and articles were focused on the effectiveness of Ponseti method on children with less than 2 years of age.ResultsOf the outcome of 1095 articles from four electronic databases, twelve articles were included in the review. Pirani scoring system, Dimeglio scoring system, measuring the range of motion and rate of relapses were used as outcome measures.ConclusionsIn conclusion, all reviewed, 12 articles reported that Ponseti method is a very effective method to correct the clubfoot deformities. However, we noticed that relapses occur in nine studies, which is due to the non-adherence of bracing regime and other factors such as low income and social economic status.

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