ArticleJournal of orthopaedic case reports2026
Comprehensive Analysis and Surgical Management of Neglected Congenital Talipes Equinovarus Using the Joshi's External Stabilizing System: A 3-Year Longitudinal Case Study and Biomechanical Review.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Neglected congenital talipes equinovarus (CTEV) presents a formidable challenge in pediatric orthopedics, characterized by rigid soft-tissue contractures and adaptive bony changes that occur when the deformity remains untreated past the walking age. While neonatal clubfoot is successfully managed via the Ponseti method, delayed presentations require interventions that can address fixed skeletal remodeling without the morbidity of extensive posteromedial releases. This report analyzes a single case of a child with neglected CTEV treated with the Joshi's external stabilizing system (JESS), following the patient from the pre-operative state through a 3-year follow-up period. Case Report: A 3.5-year-old female presented with an uncorrected, unilateral, neglected idiopathic clubfoot. The clinical examination revealed a rigid, non-reducible deformity with a Pirani score of 6.0 and a Dimeglio score of 18 (Grade IV). Severe equinus, varus, cavus, and forefoot adduction were present, complicated by a large lateral-border callosity. Treatment involved the surgical application of the JESS fixator using a three-stage frame assembly. A protocol of fractional differential distraction was initiated postoperatively, distracting the medial side at twice the rate of the lateral side (1 mm/day vs. 0.5 mm/day) over 6 weeks, followed by a 6-week static stabilization phase. Conclusion: By the 3-year follow-up, the patient achieved a painless, plantigrade, and functional foot with significantly improved radiological indices. The talocalcaneal angles in both anteroposterior and lateral views normalized, and the patient demonstrated excellent range of motion compared to historical outcomes of open soft-tissue procedures. This case underscores JESS as a versatile, minimally invasive, and effective modality for managing the complex biomechanical demands of neglected clubfoot in low-resource and delayed-presentation settings.
Indexed as
Identifiers
What OpenQuestion holds
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.