ArticleTherapeutics and clinical risk management2020
Posteromedial Release versus Ponseti Treatment of Congenital Idiopathic Clubfoot: A Long-Term Retrospective Follow-Up Study into Adolescence.
Article in Therapeutics and clinical risk management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Management of idiopathic clubfoot: an umbrella review and CPAM-LRC consensus: Limb Reconstruction Committee of Orthopedics Branch of China International Exchange and Promotion Association for Medical and Health Care (CPAM-LRC).Journal of orthopaedic surgery and research · 2025Pooled it
- Long-term outcomes of the Ponseti method for treatment of clubfoot: a systematic review.International orthopaedics · 2021Pooled it
- Online Questions About Clubfoot Surgery: Content Analysis and Development of a Patient Education Resource.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Rate and predictors of relapse and surgery in idiopathic clubfeet after successful Ponseti treatment in infancy : a single centre, retrospective, comparative study.Bone & joint open · 2025Article
- Repeating Ponseti method for treating relapsed idiopathic congenital talipes equinovarus in children less than two years of age: a prospective study.BMC musculoskeletal disorders · 2025Article
- The Ponseti Method vs. Surgical Treatment for Idiopathic Clubfoot: A Prospective Long-Term Follow-Up.Children (Basel, Switzerland) · 2024Article
- Factors associated with the relapse in Ponseti treated congenital clubfoot.BMC musculoskeletal disorders · 2022Article
- Relapses in clubfoot treated with Ponseti technique and standard bracing protocol- a systematic analysis.Journal of clinical orthopaedics and trauma · 2021Review
- Sonoelastographic Findings in Clubfeet.International journal of general medicine · 2021Article
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Authors and funding
4 authors.
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Abstract
purposeAlthough many short-term studies have shown the superiority of Ponseti treatment to surgical treatment, studies with long-term follow-up of patients into adolescence are lacking. The aim of this study was to compare the morphological, functional and radiological results of the two methods into and during adolescent age, when both soft tissue and bony procedures can be performed to correct residual deformities. PATIENTS AND
methodsWe retrospectively evaluated two groups of patients diagnosed with congenital idiopathic clubfoot and treated with either the Ponseti method (34 clubfeet) and surgery in the form of posteromedial release (31 clubfeet). All included clubfeet were clinically fully corrected after initial treatment and final plaster removal. Evaluation was performed with the International Clubfoot Study Group (ICFSG) score.
resultsThe age at follow-up was 12.8±1.6 years in the Ponseti group and 13.5±1.7 years in the surgical group. Excellent or good results were obtained in 26 feet (76%) of the Ponseti group and in 14 feet (45%) in the surgical group. The Ponseti treatment was significantly superior to posteromedial release in terms of the final score (10.58±6.49 versus 17.26±8.83, p<0.001), functional score (p<0.001) and radiological score (p<0.001). Residual deformities were clinically present in both groups but were less frequent and less severe in Ponseti-treated patients. Flat-top talus was found to be present in both groups, but the Ponseti method was more protective than surgical treatment against this outcome (relative risk=0.494, p=0.002). The overall foot and ankle mobility was significantly better in the Ponseti group (p<0.001).
conclusionThe Ponseti method was superior to surgery for treatment of clubfoot and achieved better long-term morphological, functional and radiological results. It preserves better mobility of the foot and ankle, and results in less frequent and less severe residual deformities than surgical treatment.
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