ArticleScientific reports2017
The Correlation of Pirani and Dimeglio Scoring Systems for Ponseti Management at Different Levels of Deformity Severity.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic factors for recurrent idiopathic clubfoot deformity: a systematic literature review and meta-analysis.Acta orthopaedica · 2022Pooled it
- Evaluation of the functional outcome measures of recurrent clubfeet after posteromedial or posterior release treated using the Ponseti method: a preliminary study.BMC musculoskeletal disorders · 2025Article
- Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot.Children (Basel, Switzerland) · 2021Article
- Can clubfoot scoring systems predict the number of casts and future recurrences in patients undergoing Ponseti method?Journal of orthopaedic surgery and research · 2021Article
- Correlation of age and severity scores to the number of Ponseti casts in Indian infants with clubfeet.Journal of clinical orthopaedics and trauma · 2020Article
- Clubfoot treatment with Ponseti method-parental distress during plaster casting.Journal of orthopaedic surgery and research · 2020Article
- The influence of laterality, sex and family history on clubfoot severity.Journal of children's orthopaedics · 2020Review
- Interobserver reliability of Diméglio and Pirani score and their subcomponents in the evaluation of idiopathic clubfoot in a clinical setting: a need for improved scoring systems.Journal of children's orthopaedics · 2019Article
- Comparison of Dimeglio and Pirani score in predicting number of casts and need for tenotomy in clubfoot correction using the Ponseti method.International orthopaedics · 2018Article
- Developing a Three-Dimensional (3D) Assessment Method for Clubfoot-A Study Protocol.Frontiers in physiology · 2017Article
- Correlation of scores with number of Ponseti casts required for clubfoot correction in the older child.Journal of clinical orthopaedics and traumaArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Pirani and Dimeglio scoring systems both have excellent inter-observer and intra-observer reliability, but no research has been conducted to determine their inter-observer reliability and their relationship at different levels of deformity. A total of 173 idiopathic clubfoot cases were reviewed using Pirani and Dimeglio scoring systems, and the number of casts needed was also recorded. For clubfeet with a cast number equal to 2 or 7 and 8, the inter-observer reliability of the two scoring systems was poor or moderate, and there was no correlation between the two scoring systems. There was also no correlation between the Dimeglio scoring score with the number of casts for grade II or IV clubfeet. A binary regression of the number of casts on initial Pirani or Dimeglio scores showed that there was a Quadratic or Cubic relation between the scores and the cast numbers. In conclusion, in the case of mild and very severe clubfoot deformity, the interobserver reliability and its ability to predict the number of casts needed for clubfoot deformity correction was poor. A more objective evaluation system may be required.
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