{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:40:45Z","timestamp":1777880445520,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2003,12,1]],"date-time":"2003-12-01T00:00:00Z","timestamp":1070236800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2003,12,1]],"date-time":"2003-12-01T00:00:00Z","timestamp":1070236800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2003,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To explore the role of Joshi's external stabilisation system fixator in correcting cases of clubfoot peculiar to India, we studied cases of neglected clubfoot, dropout cases of plaster-of-paris cast treatment, or failed surgical procedures that had been followed for a minimum period of 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>26 children underwent 44 Joshi's external stabilisation system procedures at the Central Institute of Orthopaedics at the Safdarjung Hospital, New Delhi, between January 1998 and December 1999 for the conditions of interest. Three-dimensional correction was achieved by use of the distractor device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>Excellent results were obtained in 77% of the cases, good results in 13%, and poor results in 9% of the cases. Complications in half of the cases were -pintract infections, which eventually healed on an out-patient basis without any residual sequelae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>The Joshi's external stabilisation system frame is ideally suited for the child in whom clubfoot deformities remain uncorrected by plaster-of-paris casts and manipulation, as well as for recurrent clubfoot. Casting after complete correction not only protects the osteopenic bones while the pin-tracts heal, but also maintains correction and allows gradual weightbearing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949900301100216","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"194-201","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Role of Joshi's External Stabilisation System Fixator in the Management of Idiopathic Clubfoot"],"prefix":"10.1177","volume":"11","author":[{"given":"S","family":"Suresh","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Physical Medicine & Rehabilitation, St. Stephens Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"VK","family":"Sharma","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopaedics, Safdarjung Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,12,1]]},"reference":[{"key":"bibr1-230949900301100216","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199001000-00003"},{"key":"bibr2-230949900301100216","volume-title":"Operative Foot Surgery","author":"Paley D","year":"1994"},{"key":"bibr3-230949900301100216","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/00003086-199207000-00012","volume":"280","author":"Grant AD","year":"1992","journal-title":"Clin Orthop"},{"key":"bibr4-230949900301100216","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B4.3611163"},{"key":"bibr5-230949900301100216","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19910901-07"},{"key":"bibr6-230949900301100216","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19970701-09"},{"key":"bibr7-230949900301100216","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/00003086-199207000-00010","volume":"280","author":"Rajacich N","year":"1992","journal-title":"Clin Orthop"},{"key":"bibr8-230949900301100216","volume-title":"Textbook of Orthopaedics and Trauma","author":"Joshi BB","year":"1999","edition":"1"},{"key":"bibr9-230949900301100216","first-page":"149","volume":"50","author":"Atar D","year":"1990","journal-title":"Bull Hosp Jt Dis Orthop Inst"},{"key":"bibr10-230949900301100216","doi-asserted-by":"publisher","DOI":"10.1016\/0268-0890(95)90016-0"},{"key":"bibr11-230949900301100216","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/00003086-199105000-00008","volume":"266","author":"Oganesian OV","year":"1991","journal-title":"Clin Orthop"},{"key":"bibr12-230949900301100216","first-page":"214","volume":"131","author":"Bethem D","year":"1978","journal-title":"Clin Orthop"},{"key":"bibr13-230949900301100216","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197961060-00002"},{"key":"bibr14-230949900301100216","first-page":"595","volume":"21","author":"Kite JH","year":"1939","journal-title":"J Bone Joint Surg"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900301100216","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900301100216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:11:47Z","timestamp":1777594307000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949900301100216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,12]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,12]]}},"alternative-id":["10.1177\/230949900301100216"],"URL":"https:\/\/doi.org\/10.1177\/230949900301100216","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,12]]}}}