{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:31:45Z","timestamp":1787315505387,"version":"build-2736575974"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2018,3,29]],"date-time":"2018-03-29T00:00:00Z","timestamp":1522281600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2018,10]]},"DOI":"10.1007\/s00264-018-3873-3","type":"journal-article","created":{"date-parts":[[2018,4,3]],"date-time":"2018-04-03T23:28:24Z","timestamp":1522798104000},"page":"2429-2436","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Comparison of Dimeglio and Pirani score in predicting number of casts and need for tenotomy in clubfoot correction using the Ponseti method"],"prefix":"10.1007","volume":"42","author":[{"given":"Manuele","family":"Lampasi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina Novella","family":"Abati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Bettuzzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Stilli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Trisolino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,3,29]]},"reference":[{"key":"3873_CR1","volume-title":"Congenital clubfoot: fundamentals of treatment","author":"IV Ponseti","year":"1996","unstructured":"Ponseti IV (1996) Congenital clubfoot: fundamentals of treatment, 1st edn. Oxford University Press, Oxford","edition":"1"},{"key":"3873_CR2","doi-asserted-by":"publisher","first-page":"1263","DOI":"10.1007\/s11999-008-0683-8","volume":"467","author":"N Bor","year":"2009","unstructured":"Bor N, Coplan JA, Herzenberg JE (2009) Ponseti treatment for idiopathic clubfoot: minimum 5-year follow-up. Clin Orthop Relat Res 467:1263\u20131270","journal-title":"Clin Orthop Relat Res"},{"key":"3873_CR3","first-page":"133","volume":"12","author":"WB Lehman","year":"2003","unstructured":"Lehman WB, Mohaideen A, Madan S, Scher DM, Van Bosse HJ, Iannacone M, Bazzi JS, Feldman DS (2003) A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot. J Pediatr Orthop B 12:133\u2013140","journal-title":"J Pediatr Orthop B"},{"key":"3873_CR4","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1542\/peds.113.2.376","volume":"113","author":"JA Morcuende","year":"2004","unstructured":"Morcuende JA, Dolan LA, Dietz FR, Ponseti IV (2004) Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method. Pediatrics 113:376\u2013380","journal-title":"Pediatrics"},{"key":"3873_CR5","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1053\/j.jfas.2008.07.002","volume":"47","author":"M Abbas","year":"2008","unstructured":"Abbas M, Qureshi OA, Jeelani LZ, Azam Q, Khan AQ, Sabir AB (2008) Management of congenital talipes equinovarus by Ponseti technique: a clinical study. J Foot Ankle Surg 47:541\u2013545","journal-title":"J Foot Ankle Surg"},{"issue":"4","key":"3873_CR6","doi-asserted-by":"publisher","first-page":"1281","DOI":"10.1007\/s11999-013-3386-8","volume":"472","author":"PA Smith","year":"2014","unstructured":"Smith PA, Kuo KN, Graf AN, Krzak J, Flanagan A, Hassani S, Caudill AK, Dietz FR, Morcuende J, Harris GF (2014) Long-term results of comprehensive clubfoot release versus the Ponseti method: which is better? Clin Orthop Relat Res 472(4):1281\u20131290","journal-title":"Clin Orthop Relat Res"},{"key":"3873_CR7","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1097\/bpo.0b013e31815a60a6","volume":"28","author":"S Desai","year":"2008","unstructured":"Desai S, Aroojis A, Mehta R (2008) Ultrasound evaluation of clubfoot correction during Ponseti treatment: a preliminary report. J Pediatr Orthop 28:53\u201355","journal-title":"J Pediatr Orthop"},{"issue":"7","key":"3873_CR8","doi-asserted-by":"publisher","first-page":"1286","DOI":"10.2106\/00004623-200307000-00015","volume":"85-A","author":"E Ippolito","year":"2003","unstructured":"Ippolito E, Farsetti P, Caterini R, Tudisco C (2003) Long-term comparative results in patients with congenital clubfoot treated with two different protocols. J Bone Joint Surg Am 85-A(7):1286\u20131294","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"3873_CR9","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1007\/s11832-010-0287-1","volume":"4","author":"V Goriainov","year":"2010","unstructured":"Goriainov V, Judd J, Uglow M (2010) Does the Pirani score predict relapse in clubfoot? J Child Orthop 4(5):439\u2013444","journal-title":"J Child Orthop"},{"issue":"7","key":"3873_CR10","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1097\/BPO.0b013e3181ec0853","volume":"30","author":"A Chu","year":"2010","unstructured":"Chu A, Labar AS, Sala DA, van Bosse HJ, Lehman WB (2010) Clubfoot classification: correlation with Ponseti cast treatment. J Pediatr Orthop 30(7):695\u2013699","journal-title":"J Pediatr Orthop"},{"key":"3873_CR11","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1097\/01202412-199504020-00002","volume":"4","author":"A Dimeglio","year":"1995","unstructured":"Dimeglio A, Bensahel H, Souchet P, Mazeau P, Bonnet F (1995) Classification of clubfoot. J Pediatr Orthop B 4:129\u2013136","journal-title":"J Pediatr Orthop B"},{"key":"3873_CR12","unstructured":"Pirani S, Outerbridge HK, Sawatzki B, Stothers K (1999) A reliable method of clinically evaluating a virgin clubfoot evaluation. In: Proceedings of the 21st SICOT World Congress, Sydney, Australia"},{"key":"3873_CR13","first-page":"323","volume":"18","author":"JM Flynn","year":"1998","unstructured":"Flynn JM, Donohoe M, Mackenzie WG (1998) An independent assessment of two clubfoot-classification systems. J Pediatr Orthop 18:323\u2013327","journal-title":"J Pediatr Orthop"},{"issue":"7","key":"3873_CR14","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1302\/0301-620X.84B7.12909","volume":"84","author":"AM Wainwright","year":"2002","unstructured":"Wainwright AM, Auld T, Benson MK, Theologis TN (2002) The classification of congenital talipes equinovarus. J Bone Joint Surg Br 84(7):1020\u20131024","journal-title":"J Bone Joint Surg Br"},{"issue":"4","key":"3873_CR15","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1097\/BPB.0b013e3283514183","volume":"21","author":"S Shaheen","year":"2012","unstructured":"Shaheen S, Jaiballa H, Pirani S (2012) Interobserver reliability in Pirani clubfoot severity scoring between a paediatric orthopaedic surgeon and a physiotherapy assistant. J Pediatr Orthop B 21(4):366\u2013368","journal-title":"J Pediatr Orthop B"},{"issue":"6","key":"3873_CR16","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1097\/BPB.0000000000000083","volume":"23","author":"NJ Harvey","year":"2014","unstructured":"Harvey NJ, Mudge AJ, Daley DT, Sims SK, Adams RD (2014) Inter-rater reliability of physiotherapists using the Pirani scoring system for clubfoot: comparison with a modified five-point scale. J Pediatr Orthop B 23(6):493\u2013500","journal-title":"J Pediatr Orthop B"},{"issue":"1","key":"3873_CR17","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1097\/BPB.0b013e328346c03b","volume":"21","author":"S Chaudhry","year":"2012","unstructured":"Chaudhry S, Chu A, Labar AS, Sala DA, van Bosse HJ, Lehman WB (2012) Progression of idiopathic clubfoot correction using the Ponseti method. J Pediatr Orthop B 21(1):73\u201378","journal-title":"J Pediatr Orthop B"},{"issue":"10","key":"3873_CR18","doi-asserted-by":"publisher","first-page":"2199","DOI":"10.1007\/s00264-016-3244-x","volume":"40","author":"M Lampasi","year":"2016","unstructured":"Lampasi M, Trisolino G, Abati CN, Bosco A, Marchesini Reggiani L, Racano C, Stilli S (2016) Evolution of clubfoot deformity and muscle abnormality in the Ponseti method: evaluation with the Dimeglio score. Int Orthop 40(10):2199\u20132205","journal-title":"Int Orthop"},{"issue":"2","key":"3873_CR19","doi-asserted-by":"publisher","first-page":"230949901771391","DOI":"10.1177\/2309499017713916","volume":"25","author":"M Lampasi","year":"2017","unstructured":"Lampasi M, Abati CN, Stilli S, Trisolino G (2017) Use of the Pirani score in monitoring progression of correction and in guiding indications for tenotomy in the Ponseti method: Are we coming to the same decisions? J Orthop Surg (Hong Kong) 25(2):2309499017713916. https:\/\/doi.org\/10.1177\/2309499017713916","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"6","key":"3873_CR20","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1097\/BPO.0000000000000182","volume":"34","author":"R Gao","year":"2014","unstructured":"Gao R, Tomlinson M, Walker C (2014) Correlation of Pirani and Dimeglio scores with number of Ponseti casts required for clubfoot correction. J Pediatr Orthop 34(6):639\u2013642","journal-title":"J Pediatr Orthop"},{"issue":"3","key":"3873_CR21","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1302\/0301-620X.93B3.24450","volume":"93","author":"P Harnett","year":"2011","unstructured":"Harnett P, Freeman R, Harrison WJ, Brown LC, Beckles V (2011) An accelerated Ponseti versus the standard Ponseti method: a prospective randomised controlled trial. J Bone Joint Surg Br 93(3):404\u2013408","journal-title":"J Bone Joint Surg Br"},{"issue":"1","key":"3873_CR22","doi-asserted-by":"publisher","first-page":"14578","DOI":"10.1038\/s41598-017-14977-7","volume":"7","author":"H Fan","year":"2017","unstructured":"Fan H, Liu Y, Zhao L, Chu C, An Y, Wang T, Li W (2017) The correlation of Pirani and Dimeglio scoring systems for Ponseti management at different levels of deformity severity. Sci Rep 7(1):14578. https:\/\/doi.org\/10.1038\/s41598-017-14977-7","journal-title":"Sci Rep"},{"issue":"11","key":"3873_CR23","doi-asserted-by":"publisher","first-page":"3517","DOI":"10.1007\/s11999-014-3776-6","volume":"472","author":"K Gray","year":"2014","unstructured":"Gray K, Gibbons P, Little D, Burns J (2014) Bilateral clubfeet are highly correlated: a cautionary tale for researchers. Clin Orthop Relat Res 472(11):3517\u20133522. https:\/\/doi.org\/10.1007\/s11999-014-3776-6","journal-title":"Clin Orthop Relat Res"},{"key":"3873_CR24","doi-asserted-by":"publisher","first-page":"159","DOI":"10.2307\/2529310","volume":"33","author":"JR Landis","year":"1977","unstructured":"Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159\u2013174","journal-title":"Biometrics"},{"issue":"2","key":"3873_CR25","first-page":"40","volume":"21","author":"M Awang","year":"2014","unstructured":"Awang M, Sulaiman AR, Munajat I, Fazliq ME (2014) Influence of age, weight, and Pirani score on the number of castings in the early phase of clubfoot treatment using Ponseti method. Malays J Med Sci 21(2):40\u201343","journal-title":"Malays J Med Sci"},{"issue":"8","key":"3873_CR26","doi-asserted-by":"publisher","first-page":"1082","DOI":"10.1302\/0301-620X.88B8.17482","volume":"88","author":"PJ Dyer","year":"2006","unstructured":"Dyer PJ, Davis N (2006) The role of the Pirani scoring system in the management of club foot by the Ponseti method. J Bone Joint Surg Br 88(8):1082\u20131084","journal-title":"J Bone Joint Surg Br"},{"key":"3873_CR27","unstructured":"Zhao D, Li H, Zhao L, Kuo KN, Yang X, Wu Z, Liu J, Zhu J (2016) Prognosticating factors of relapse in clubfoot management by Ponseti method. J Pediatr Orthop"},{"issue":"4","key":"3873_CR28","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1097\/BPB.0000000000000194","volume":"24","author":"BK Aydin","year":"2015","unstructured":"Aydin BK, Senaran H, Yilmaz G, Acar MA, Kirac Y (2015) The need for Achilles tenotomy in the Ponseti method: is it predictable at the initiation or during the treatment? J Pediatr Orthop B Jul 24(4):341\u2013344","journal-title":"J Pediatr Orthop B Jul"},{"issue":"2","key":"3873_CR29","doi-asserted-by":"publisher","first-page":"230949901771389","DOI":"10.1177\/2309499017713896","volume":"25","author":"BH David","year":"2017","unstructured":"David BH, Olayinka OA, Oluwadare E, Ayodele OE, Joseph OM, Olujide A (2017) Predictive value of Pirani scoring system for tenotomy in the management of idiopathic clubfoot. J Orthop Surg (Hong Kong) 25(2):2309499017713896. https:\/\/doi.org\/10.1177\/2309499017713896","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"3","key":"3873_CR30","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1007\/s00264-013-2155-3","volume":"38","author":"A Agarwal","year":"2014","unstructured":"Agarwal A, Gupta N (2014) Does initial Pirani score and age influence number of Ponseti casts in children? Int Orthop 38(3):569\u2013572","journal-title":"Int Orthop"},{"key":"3873_CR31","doi-asserted-by":"crossref","unstructured":"Cosma D, Vasilescu DE (2014) A clinical evaluation of the Pirani and Dimeglio idiopathic clubfoot classifications. J Foot Ankle Surg","DOI":"10.1053\/j.jfas.2014.10.004"},{"key":"3873_CR32","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1097\/01241398-200407000-00001","volume":"24","author":"DM Scher","year":"2004","unstructured":"Scher DM, Feldman DS, Van Bosse HJ, Sala DA, Lehman WB (2004) Predicting the need for tenotomy in the Ponseti method for correction of clubfeet. J Pediatr Orthop 24:349\u2013352","journal-title":"J Pediatr Orthop"},{"issue":"15","key":"3873_CR33","doi-asserted-by":"publisher","first-page":"1246","DOI":"10.2106\/JBJS.O.00076","volume":"97","author":"S Kang","year":"2015","unstructured":"Kang S, Park SS (2015) Lateral tibiocalcaneal angle as a determinant for percutaneous Achilles tenotomy for idiopathic clubfeet. J Bone Joint Surg Am 97(15):1246\u20131254","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"3873_CR34","doi-asserted-by":"publisher","first-page":"22","DOI":"10.2106\/00004623-200401000-00005","volume":"86-A","author":"MB Dobbs","year":"2004","unstructured":"Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA (2004) Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am 86-A(1):22\u201327","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"3873_CR35","doi-asserted-by":"publisher","first-page":"245","DOI":"10.4055\/cios.2014.6.3.245","volume":"6","author":"D Zhao","year":"2014","unstructured":"Zhao D, Liu J, Zhao L, Wu Z (2014) Relapse of clubfoot after treatment with the Ponseti method and the function of the foot abduction orthosis. Clin Orthop Surg 6(3):245\u2013252","journal-title":"Clin Orthop Surg"},{"issue":"6","key":"3873_CR36","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1097\/BPO.0b013e31825fa7df","volume":"32","author":"PJ Moroney","year":"2012","unstructured":"Moroney PJ, No\u00ebl J, Fogarty EE, Kelly PM (2012) A single-center prospective evaluation of the Ponseti method in nonidiopathic congenital talipes equinovarus. J Pediatr Orthop 32(6):636\u2013640","journal-title":"J Pediatr Orthop"},{"issue":"19","key":"3873_CR37","doi-asserted-by":"publisher","first-page":"e164","DOI":"10.2106\/JBJS.M.01525","volume":"96","author":"LE Zionts","year":"2014","unstructured":"Zionts LE, Packer DF, Cooper S, Ebramzadeh E, Sangiorgio S (2014) Walking age of infants with idiopathic clubfoot treated using the ponseti method. J Bone Joint Surg Am 96(19):e164","journal-title":"J Bone Joint Surg Am"},{"issue":"9","key":"3873_CR38","doi-asserted-by":"publisher","first-page":"1264","DOI":"10.1302\/0301-620X.96B9.33755","volume":"96-B","author":"Y Gelfer","year":"2014","unstructured":"Gelfer Y, Dunkley M, Jackson D, Armstrong J, Rafter C, Parnell E, Eastwood DM (2014) Evertor muscle activity as a predictor of the mid-term outcome following treatment of the idiopathic and non-idiopathic clubfoot. Bone Joint J 96-B(9):1264\u20131268","journal-title":"Bone Joint J"},{"issue":"6","key":"3873_CR39","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1007\/s11832-008-0134-9","volume":"2","author":"R Kampa","year":"2008","unstructured":"Kampa R, Binks K, Dunkley M, Coates C (2008) Multidisciplinary management of clubfeet using the Ponseti method in a district general hospital setting. J Child Orthop 2(6):463\u2013467","journal-title":"J Child Orthop"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00264-018-3873-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-018-3873-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-018-3873-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T19:48:49Z","timestamp":1660765729000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00264-018-3873-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,29]]},"references-count":39,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["3873"],"URL":"https:\/\/doi.org\/10.1007\/s00264-018-3873-3","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"value":"0341-2695","type":"print"},{"value":"1432-5195","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,29]]},"assertion":[{"value":"21 July 2017","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 February 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 March 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Approval of the local institutional review board was obtained and all parents provided written consensus to treatment and study.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"One of the authors (C.N. Abati) received a grant from CEDISS Security Engineering, a private donor without profit interest. For the remaining authors, none were declared.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}