{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:02:03Z","timestamp":1787234523141,"version":"build-2736575974"},"reference-count":17,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T00:00:00Z","timestamp":1474329600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>Background. The aim of the study is to create awareness in the practicing health care workers toward the problems encountered during casting and bracing of clubfoot following Ponseti method, and in turn avoid them. Material and Patients. Retrospective audit of 6 years\u2019 clubfoot clinic records to analyze problems associated with Ponseti method. Observations. Problems were encountered in 26 cast and in 6 braced patients. Just 4 patients out of 71 syndromic (5.6%) experienced problems during casting compared with 3% overall incidence. The common problems encountered in casted patients were moisture lesions, hematoma, dermatitis due to occlusion, pressure sores, and fractures. There was excessive bleeding in 1 patient at time of tenotomy. In braced patients, pressure sores and tenderness at tenotomy site were major problems. None of the syndromic patients experienced difficulties during bracing. Conclusions. Problems were encountered with Ponseti method during casting, tenotomy, or bracing. Syndromic children had lesser complication rate than idiopathic clubfeet. It is important to be aware of these problems so that appropriate intervention can be done early.<\/jats:p>\n                  <jats:p>Levels of Evidence: Level IV: Retrospective<\/jats:p>","DOI":"10.1177\/1938640016666916","type":"journal-article","created":{"date-parts":[[2016,9,7]],"date-time":"2016-09-07T20:58:50Z","timestamp":1473281930000},"page":"513-521","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["The Problems Encountered in a CTEV Clinic"],"prefix":"10.1177","volume":"9","author":[{"given":"Anil","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India (AA, AK, AS, MM)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anubrat","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India (AA, AK, AS, MM)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbas","family":"Shaharyar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India (AA, AK, AS, MM)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhusudan","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India (AA, AK, AS, MM)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,9,20]]},"reference":[{"key":"bibr1-1938640016666916","unstructured":"Staheli L. Clubfoot: Ponseti Management. 3rd ed. Seattle, WA: Global-HELP; 2009. http:\/\/www.global-help.org\/publications\/books\/help_cfponseti.pdf. Accessed August 12, 2016."},{"key":"bibr2-1938640016666916","unstructured":"Pirani S, Naddumba E, Staheli L, eds. Ponseti Clubfoot Management: Teaching Manual for Health-Care Providers in Uganda. Seattle, WA: Global-HELP; 2008. https:\/\/global-help.org\/publications\/books\/help_ponsetiuganda.pdf. Accessed August 12, 2016."},{"key":"bibr3-1938640016666916","volume-title":"Pressure Ulcers: Incidence, Economics, Risk Assessment","author":"National Pressure Ulcer Advisory Panel","year":"1989"},{"key":"bibr4-1938640016666916","first-page":"17","volume":"3","author":"Baindurashvili A.","year":"2012","journal-title":"EWMA J"},{"key":"bibr5-1938640016666916","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.62B4.7430233"},{"key":"bibr6-1938640016666916","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200403000-00022"},{"key":"bibr7-1938640016666916","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B10.17578"},{"key":"bibr8-1938640016666916","first-page":"49","volume":"31","author":"Jawadi AH.","year":"2010","journal-title":"Saudi Med J"},{"key":"bibr9-1938640016666916","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B8.17919"},{"key":"bibr10-1938640016666916","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00178"},{"key":"bibr11-1938640016666916","first-page":"117","volume":"29","author":"Volz R","year":"2009","journal-title":"Iowa Orthop J"},{"key":"bibr12-1938640016666916","first-page":"353","volume":"24","author":"Dobbs M","year":"2004","journal-title":"J PediatrOrthop"},{"key":"bibr13-1938640016666916","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181653b6f"},{"key":"bibr14-1938640016666916","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-006-0267-6"},{"key":"bibr15-1938640016666916","first-page":"821690","volume":"2015","author":"Moghaddam M","year":"2015","journal-title":"Adv Orthop"},{"key":"bibr16-1938640016666916","doi-asserted-by":"publisher","DOI":"10.1007\/s002640050137"},{"key":"bibr17-1938640016666916","first-page":"564","volume":"109","author":"Straticiuc-Ciongradi S","year":"2005","journal-title":"Rev Med Chir Soc Med Nat Lasi"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640016666916","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640016666916","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640016666916","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:33:19Z","timestamp":1777411999000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640016666916"}},"subtitle":["Can Better Casting and Bracing Be Accomplished?"],"short-title":[],"issued":{"date-parts":[[2016,9,20]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1177\/1938640016666916"],"URL":"https:\/\/doi.org\/10.1177\/1938640016666916","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,20]]}}}