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Effectiveness of the Ponseti method for congenital clubfoot in patients with arthrogryposis: A systematic review and meta-analysis of observational studies.
Effectiveness of the Ponseti method for congenital clubfoot in patients with arthrogryposis: A systematic review and meta-analysis of observational studies.
- Source :
-
Journal of children's orthopaedics [J Child Orthop] 2023 Dec 29; Vol. 18 (1), pp. 72-78. Date of Electronic Publication: 2023 Dec 29 (Print Publication: 2024). - Publication Year :
- 2023
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Abstract
- Purpose: The aim of this systematic review was to address the Ponseti method in arthrogrypotic clubfoot treatment and evaluate the success, complication, and recurrence rates.<br />Method: A systematic review was performed in the PubMed, Scopus, Embase, and Web of Science databases on 9 January 2023, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Success, recurrence, and complication rates were evaluated and analyzed. Risks of bias and the quality of the studies were also evaluated.<br />Results: Five case series, including 53 patients (102 feet), were identified. According to this model, the initial success rate was 91% (95% confidence interval = 0.79-0.96) with I <superscript>2</superscript> = 43%, and the final success was 68% (at 5.8 years of follow-up). Recurrence rate was 30% (95% confidence interval = 0.14-0.52).<br />Conclusion: Ponseti method is indicated in the initial treatment of arthrogrypotic clubfeet, as it is a minimally invasive method with a high correction rate (91%). However, a high recurrence rate (30%) requires early detection and adequate treatment.<br />Level of Evidence: Level III.<br />Prospero Protocol: CRD42020210373.<br />Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.<br /> (© The Author(s) 2023.)
Details
- Language :
- English
- ISSN :
- 1863-2521
- Volume :
- 18
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of children's orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 38348434
- Full Text :
- https://doi.org/10.1177/18632521231214778