Evidence map›Paper›PMID 29642612›Full record

ArticleChildren (Basel, Switzerland)2018

Ponseti Technique for the Management of Congenital Talipes Equinovarus in a Rural Set-Up in India: Experience of 356 Patients.

Rohit Malhotra, Ashutosh Mohapatra, Geetika Arora, Priyam Choudhury, Hitesh Joshi, Pranav Patel

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rohit MalhotraDepartment of Orthopaedics, ESIC Model Hospital, Baddi 173205, Himachal Pradesh, India. dr.rohit.malhotra@esic.in.
Ashutosh MohapatraDepartment of Orthopaedics, Mohapatra Hospital, Ulhasnagar 421003, Maharashtra, India. ashutoshmohapatra11.am@gmail.com.
Geetika AroraDepartment of Anaesthesia, PGIMER, Chandigarh 160012, India. geetika.arora3010@gmail.com.
Priyam ChoudhuryMBBS, Dr DY Patil Medical College and Hospital, Pimpri 411018, Maharashtra, India. priyamchoudhury28@gmail.com.
Hitesh JoshiDepartment of Orthopaedics, RDBP Jaipuria Hospital, Jaipur 302018, Rajasthan, India. hitesh192@yahoo.co.in.
Pranav PatelDepartmentof Orthopaedics, Pimprikar Hospital, Nasik 422009, Maharashtra, India. patel-mail@pimprikarhospital.com.ORCID 0000-0003-0914-4820

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital talipes equinovarus (CTEV), also known as clubfoot, is a complex congenital deformity of the foot that, left untreated, can limit a person's mobility by making it difficult and painful to walk. Worldwide, 80% of children born with clubfoot are in low- and middle-income countries. The management of clubfoot has a long history. Non-operative management did not become popular, as an increasing number of orthopaedists started leaning towards surgical treatment. The late Dr. Ignacio Ponseti developed a method of clubfoot correction that successfully realigns clubfoot in infants without extensive and major surgery. The aim of the study was to assess the functional outcome of CTEV management by the Ponseti technique, to study the severity of CTEV deformity using the Pirani score, and to evaluate the cost-effectiveness of the technique. A total of 356 cases with 402 feet with CTEV were treated by the Ponseti method. The average age of the children and the number of casts applied before full correction were 4.03 months and 6.91, respectively. There was a good functional outcome in 95.45% of cases (score > 30) at the last follow up. The management of CTEV by the Ponseti technique provides a good functional and cosmetic outcome. In a developing country like India, this technique is a safe, easy, economical method of clubfoot management.

Indexed as

clubfootcongenital talipes equinovarusIndiaPirani scorePonsetirural set-up

Identifiers

PMID29642612
PMCPMC5920395

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