Evidence map›Paper›PMID 34858529›Full record

ArticleJournal of children's orthopaedics2021

A modification of the Ponseti method for clubfoot management: a prospective comparative study.

Reda Ali Sheta, Mohamed El-Sayed, Hisham Abdel-Ghani, Sameh Saber, Amani Salah Eldin Mohammed, Tohamy Gouda Tohamy Hassan

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 53% of its field
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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 1 institution in 1 country.

Reda Ali ShetaProfessor of Orthopaedics, Al-Ahrar Specialist Hospital, Zagazig, Al-Sharkia, Egypt.ORCID https://orcid.org/0000-0001-9845-5246
Mohamed El-SayedProfessor of Pediatric Orthopedics & Limb Reconstructive -Surgeries, Tanta University, Egypt.
Hisham Abdel-GhaniProfessor of Pediatric Orthopedics; Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-1219-5813
Sameh SaberAssistant Professor of Radiology, Faculty of Medicine, Zagazig University, Al-Sharkia, Egypt.
Amani Salah Eldin MohammedFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Tohamy Gouda Tohamy HassanAssistant Professor of Orthopedics, Faculty of Medicine, Al-Azhar University, Egypt.ORCID https://orcid.org/0000-0002-4669-6889
Ain Shams University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to compare our parent-based exercise programem's efficacy with the foot abduction brace (FAB) Ponseti manipulation as a retention programme.

methodsWe conducted this prospective multicentre cohort study between August 2009 and November 2019. The included children were allocated into one of two groups according to the retention protocol. The Pirani and Laaveg-Ponseti scores were used to assess the feet clinically and functionally. Radiological assessment was performed using standing anteroposterior and lateral radiographs of the feet. We assessed the parents' satisfaction and adherence to the retention method. SPSS version 25 was used for the statistical analysis.

resultsA total of 1265 feet in 973 children were included. Group A included 637 feet managed with FAB, while group B included 628 feet managed with our retention programme. All patients were followed up to the age of four years. At the final follow-up, Pirani scores in group A participants were excellent, good and poor in 515, 90, and 32 feet, respectivel, while in group B the scores were excellent, good and poor in 471, 110 and 44 feet, respectively. The mean total score of Laaveg-Ponseti was 87.81 (sd 19.82) in group A and 90.55 (sd 20.71) in group B (p = 0.02). Group B participants showed higher satisfaction with the treatment method (p = 0.011) and more adherence to the treatment (p = 0.013).

conclusionThe deformity's recurrence related to the brace's non-compliance in the Ponseti method might be reduced by substituting the brace with our home-based daily stretching exercises. LEVEL OF EVIDENCE: II.

Indexed as

daily exercise programmeDennis Brown splintidiopathic clubfootidiopathic congenital talipes equinovarusmodified Ponseti methodPirani scorereoccurrencestretching programmetalipes equinovarus

Identifiers

PMID34858529
PMCPMC8582604
OpenAlexW3184905245

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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.