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Review Article

IJMDC. 2023; 7(10): 1381-1388


The outcome of Ponseti method for the treatment of clubfoot: a systematic review

Mahdi M. Alqarni, Mohammad Hadi Hakami, Saleh Abdullah Alhazmy.




Abstract

Clubfoot is one of the most common congenital orthopedic disorders that is characterized by four structural deformities. The treatment of clubfoot could be conservative or surgical; however, conservative modalities should be the initial option for the management of clubfoot. The Ponseti method is a conservative modality. Thus, this review was conducted to assess the outcomes of the Ponseti method in the treatment of clubfoot by reviewing the previous studies conducted on this subject. Google Scholar and PubMed databases were explored for scientific articles using different keywords, including “clubfoot, treatment, management, outcomes, and Ponseti method.” Original articles focused on the treatment of clubfoot by the Ponseti method that was in English and available full-text articles were eligible for the analysis. After refining the findings, only nine articles were found eligible as per the inclusion criteria. The 9 studies included a total number of 884 children. It was found that children were suffering from idiopathic clubfoot, neglected clubfoot, idiopathic and flexible clubfoot, complex clubfoot, or undefined clubfoot. The Ponseti method is found effective and safe for the management of clubfoot, even for neglected clubfoot in older children with few complications and decreased rate of relapse.

Key words: Ponseti method, clubfoot, treatment, outcomes, management.






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