{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:49:33Z","timestamp":1763466573019,"version":"3.45.0"},"reference-count":21,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,8,6]],"date-time":"2016-08-06T00:00:00Z","timestamp":1470441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to assess the role of sonographic evaluation of Talar dysplasia in predicting the outcome of standard Ponseti method in the treatment of clubfoot deformity.\nMethods\nA total 23 children (15 boys and 8 girls; mean age: 18.2 \u00b1 5.4 days (8\u201332)) who underwent Ponseti treatment were included in the study. Before the treatment, maximal talus length of affected and non-affected feet were measured by US and relative talar dysplasia ratio (RTDR) was calculated. The patients were categorized 2 groups according to RTDR: group A \u2013 mild and group B \u2013 severe deformity. Pirani score was used for clinical evaluation. The groups were compared in terms of number of the applied casts, need of percutaneous tenotomy of Achilles tendon (AchT) and frequency of deformity recurrence.\nResults\nPirani score was 4.46 for population (4.33 for group A; 4.54 for group B). Number of casts significantly differed between groups (p &lt; 0.001) and positive correlation was found (r = 0.851, p &lt; 0.001). AchT was performed in 56% cases for group A and in 86% cases for group B; no statistically significant difference was obtained (p = 0.162). Recurrence occurred in 2 patients belonging to group B without significant difference compared to group A (p = 0.502).\nConclusion\nTalar dysplasia assessment appeared as a promising prognostic factor for predicting the outcome of the Ponseti technique in treatment of clubfoot deformity.\nLevel of evidence\nLevel IV, diagnostic study.\nER -\n\nKeywords\n\n\n\tUltrasonography\n\tClubfoot\n\tAchilles tendon\n\tPonseti method\n\tTarsal bone\n\tTalar dysplasia<\/jats:p>","DOI":"10.1016\/j.aott.2017.11.007","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T12:45:23Z","timestamp":1518525923000},"page":"87-91","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["The ultrasonography evaluation of talar dysplasia as a potential prognostic factor for predicting the course and outcomes of clubfoot deformity treatment using Ponseti technique"],"prefix":"10.5152","volume":"52","author":[{"given":"Jir\u00ed","family":"JOCHYMEK","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakub","family":"TUREK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"10.1016\/j.aott.2017.11.007_bib1","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1302\/0301-620X.46B3.445","article-title":"Family studies and the cause of congenital club foot. Talipes equinovarus, talipes calcaneo-valgus and metatarsus varus","volume":"46","author":"Wynne-Davies","year":"1964","journal-title":"J\u00a0Bone Jt Surg Br"},{"issue":"3","key":"10.1016\/j.aott.2017.11.007_bib2","doi-asserted-by":"crossref","first-page":"448","DOI":"10.2106\/00004623-199274030-00021","article-title":"Treatment of congenital club foot","volume":"74","author":"Ponseti","year":"1992","journal-title":"J\u00a0Bone Jt Surg Am"},{"issue":"5","key":"10.1016\/j.aott.2017.11.007_bib3","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/S1067-2516(03)00312-0","article-title":"Evaluation of the treatment of idiopathic clubfoot by using the Ponseti method","volume":"42","author":"Colburn","year":"2003","journal-title":"J\u00a0Foot Ankle Surg"},{"issue":"4","key":"10.1016\/j.aott.2017.11.007_bib4","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1097\/01241398-200207000-00019","article-title":"Ponseti versus traditional methods of casting for idiopathic clubfoot","volume":"22","author":"Herzenberg","year":"2002","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"2","key":"10.1016\/j.aott.2017.11.007_bib5","first-page":"133","article-title":"A\u00a0method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot","volume":"12","author":"Lehman","year":"2003","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"2","key":"10.1016\/j.aott.2017.11.007_bib6","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1097\/01202412-199504020-00002","article-title":"Classification of clubfoot","volume":"4","author":"Dim\u00e9glio","year":"1995","journal-title":"J\u00a0Pediatr Orthop B"},{"year":"1995","series-title":"A\u00a0Method of Evaluating Virgin Clubfoot with Substantial Interobserver Reliability","author":"Pirani","key":"10.1016\/j.aott.2017.11.007_bib7"},{"issue":"8","key":"10.1016\/j.aott.2017.11.007_bib8","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1302\/0301-620X.88B8.17482","article-title":"The role of the Pirani scoring system in the management of club foot by the Ponseti method","volume":"88","author":"Dyer","year":"2006","journal-title":"J\u00a0Bone Jt Surg Br"},{"issue":"7","key":"10.1016\/j.aott.2017.11.007_bib9","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1097\/BPO.0b013e3181ec0853","article-title":"Clubfoot classification: correlation with Ponseti cast treatment","volume":"30","author":"Chu","year":"2010","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"4","key":"10.1016\/j.aott.2017.11.007_bib10","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1302\/0301-620X.74B4.1624527","article-title":"The ossific nuclei and the cartilage anlage of the talus and calcaneum","volume":"74","author":"Howard","year":"1992","journal-title":"J\u00a0Bone Jt Surg Br"},{"issue":"1","key":"10.1016\/j.aott.2017.11.007_bib11","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/01241398-199701000-00010","article-title":"Onset of ossification of the tarsal bones in congenital clubfoot","volume":"17","author":"Miyagi","year":"1997","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"5","key":"10.1016\/j.aott.2017.11.007_bib12","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1097\/01202412-200509000-00007","article-title":"Ultrasound assessment of early clubfoot treatment: a comparison of the Ponseti method and a modified Copenhagen method","volume":"14","author":"Aurell","year":"2005","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"10","key":"10.1016\/j.aott.2017.11.007_bib13","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.1007\/s00330-002-1326-1","article-title":"Ultrasound anatomy in the neonatal clubfoot","volume":"12","author":"Aurell","year":"2002","journal-title":"Eur Radiol"},{"issue":"4","key":"10.1016\/j.aott.2017.11.007_bib14","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/01202412-199605040-00011","article-title":"Sonographic assessment of clubfoot deformity in young children","volume":"5","author":"Hamel","year":"1996","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"2","key":"10.1016\/j.aott.2017.11.007_bib15","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/01202412-199504020-00001","article-title":"Ultrasonographic approach to the neonatal foot: preliminary study","volume":"4","author":"Maiza","year":"1995","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"7","key":"10.1016\/j.aott.2017.11.007_bib16","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1097\/BPO.0000000000000558","article-title":"Tarsal bone dysplasia in clubfoot as measured by ultrasonography: can it be used as a prognostic indicator in congenital idiopathic Clubfoot? A prospective observational study","volume":"36","author":"Chandrakanth","year":"2016","journal-title":"J\u00a0Pediatr Orthop J Pediatr Orthop"},{"issue":"2","key":"10.1016\/j.aott.2017.11.007_bib17","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/BPB.0b013e32801048bb","article-title":"Treatment of idiopathic clubfoot using the Ponseti method: minimum 2-year follow-up","volume":"16","author":"Abdelgawad","year":"2007","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"9","key":"10.1016\/j.aott.2017.11.007_bib18","doi-asserted-by":"crossref","first-page":"2306","DOI":"10.1007\/s00330-001-1243-8","article-title":"Ultrasound anatomy in the normal neonatal and infant foot: an anatomic introduction to ultrasound assessment of foot deformities","volume":"12","author":"Aurell","year":"2002","journal-title":"Eur Radiol"},{"issue":"9","key":"10.1016\/j.aott.2017.11.007_bib19","doi-asserted-by":"crossref","first-page":"2495","DOI":"10.1007\/s11999-010-1335-3","article-title":"The role of ultrasound in clubfoot treatment: correlation with the Pirani score and assessment of the Ponseti method","volume":"468","author":"El-Adwar","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"10.1016\/j.aott.2017.11.007_bib20","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/01.bpb.0000184951.85298.4f","article-title":"Sonographic classification of idiopathic clubfoot according to severity","volume":"15","author":"Suda","year":"2006","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"1","key":"10.1016\/j.aott.2017.11.007_bib21","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/bpo.0b013e31815a60a6","article-title":"Ultrasound evaluation of clubfoot correction during Ponseti treatment: a preliminary report","volume":"28","author":"Desai","year":"2008","journal-title":"J\u00a0Pediatr Orthop"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16300578?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16300578?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3335\/3282","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:45:14Z","timestamp":1763466314000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,1,2]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2017.11.007","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The ultrasonography evaluation of talar dysplasia as a potential prognostic factor for predicting the course and outcomes of clubfoot deformity treatment using Ponseti technique","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2017.11.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}