ReviewJournal of clinical orthopaedics and trauma2021
Relapses in clubfoot treated with Ponseti technique and standard bracing protocol- a systematic analysis.
Review in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Global prevalence, patterns, and predictors of relapse following Ponseti treatment for idiopathic clubfoot: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Treatment outcome of the Ponseti method for clubfoot in Africa : a systematic review and meta-analysis.Bone & joint open · 2026Pooled it
- Long-term outcomes of the Ponseti method for treatment of clubfoot: a systematic review.International orthopaedics · 2021Pooled it
- Outcome of tibialis anterior tendon transfer in recurrent relapsed clubfoot deformity with concomitant peroneal nerve dysfunction.Pakistan journal of medical sciences · 2026Article
- When Does Brace Noncompliance Occur in Patients with Clubfoot Deformity?Clinics in orthopedic surgery · 2025Observational
- Genetics, epidemiology and management of clubfoot and related disorders.Genes & diseases · 2025Review
- Clinical and Functional Outcome of Tibialis Anterior Tendon Transfer for Recurrent Clubfoot in a Limited Resource Country: A Three-year Retrospective Cohort Study.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Harnessing the Biomimetic Effect of Macromolecular Crowding in the Cell-Derived Model of Clubfoot Fibrosis.Biomacromolecules · 2024Article
- Midterm clinical and radiological outcomes of arthrogryposis-associated clubfoot treated with the Ponseti method: a retrospective observational study and comprehensive literature review.Journal of orthopaedic surgery and research · 2024Observational
- Duration and outcome of orthotic treatment in children with clubfoot - a four-year follow-up national register study of Swedish children born between 2015 and 2017.BMC musculoskeletal disorders · 2024Article
- Article
- Factors Related to Relapse of Congenital Talipes Equinovarus (CTEV) After the Ponseti Method.Cureus · 2023Article
- Treatment of talipes equinovarus after triceps surae intramuscular hemangioma surgery by Ilizarov technology in adults: A case report.World journal of clinical cases · 2023Article
- Concomitant Talocalcaneal Coalition as a Risk Factor for Early Relapse Following Ponseti Treatment of Idiopathic Clubfoot.Diagnostics (Basel, Switzerland) · 2021Article
- Design and evaluation of a unilateral brace for preventing clubfoot relapse: A prospective study.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe analysis determined the relapses in clubfoot children treated with Ponseti technique and standard bracing protocol and their correlation with overall follow up duration using pooled data from various series. It also tested the prescribed timelines of 5 and 7 years for slow-down/cessation of relapses in clubfoot children.
methodsA systematic literature search was performed for articles published in "Pubmed (includes Medline indexed journals)" electronic databases using key words: "Clubfoot or CTEV or congenital talipes equinovarus", "Ponseti" for years 1
resultsThere were total 2206 patients in the included 24 studies. Average follow up was 6 years. The average relapse rates for clubfoot patients in the pooled data stood at 30%. The overall relapse rates increased with a longer follow up and the curve befitted a linear regression equation with weak positive correlation (Pearson correlation coefficient = 0.08). The relapse rates in follow up categories of <5 years (26.6 ± 15.6%), 5-7 years (30.8 ± 16.3%) and >7 years (28.4 ± 6.2%) were similar statistically (Analysis of variance, ANOVA).
conclusionsApproximately 1 in 3 clubfoot patients suffer relapse post Ponseti technique and standard bracing protocol. A weak positive correlation was observed for relapses when correlated with increasing follow up years. The relapses however tend to slow down after initial growth years. There is a need to educate the care receivers regarding the possibility of late relapses despite proper Ponseti treatment and accordingly to keep them under supervised follow up for longer periods.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.