SynthesisJournal of orthopaedic surgery and research2025
Effectiveness of the ponseti method in treating neurogenic clubfoot: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- A new approach for assessment of clubfoot treatment using non-radiological scanner coupling finite element.Frontiers in pediatrics · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe outcomes of the Ponseti method in neurogenic clubfoot remain uncertain due to deformity rigidity and high relapse risk. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of Ponseti treatment in pediatric neurogenic clubfoot.
methodsFollowing PRISMA 2020 guidelines, we searched PubMed, Embase, Cochrane Library, Web of Science, and Scopus through May 2025. Eligible studies reported Ponseti outcomes in pediatric neurogenic clubfoot. Two reviewers independently assessed study quality using the Newcastle-Ottawa Scale. Random-effects meta-analyses were performed using R software (version 4.5.1) with the meta package in RStudio. Heterogeneity was assessed using I
resultsThirteen studies comprising 214 patients with 336 feet and mean follow-up of 3.6 years [range 2.0-12.0] were analyzed. Initial correction was achieved in 90% of cases (95% CI 86-93%), while long-term success declined to 77% (95% CI 53-90%). Recurrence occurred in 52% (95% CI 37-66%), and complications in 28% (95% CI 13-50%). Mean cast number was 5.88, with Achilles tenotomy required in 87% (95%CI 70-95%). Subgroup analysis revealed excellent homogeneity in myelomeningocele patients (I
conclusionsThe Ponseti method demonstrates significant efficacy in neurogenic clubfoot management, achieving initial correction in approximately 90% of cases. However, the elevated recurrence rate of 52% necessitates structured long-term surveillance and timely interventions to maintain correction. Given inherent sensory impairments in this population, vigilant monitoring for cutaneous complications is essential. These findings support the Ponseti method as the preferred initial treatment approach for neurogenic clubfoot.
trial registrationPROSPERO CRD420251060145.
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