{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T01:58:15Z","timestamp":1776131895861,"version":"3.50.1"},"reference-count":23,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p> We studied 24 children (40 feet) to demonstrate that a physiotherapist-delivered Ponseti service is as successful as a medically-led programme in obtaining correction of an idiopathic congenital talipes equinovarus deformity. The median Pirani score at the start of treatment was 5.5 (mean 4.75; 2 to 6). A Pirani score of \u22655 predicted the need for tenotomy (p &lt; 0.01). Of the 40 feet studied, 39 (97.5%) achieved correction of deformity. The remaining foot required surgical correction. A total of 25 (62.5%) of the feet underwent an Achilles tenotomy, which was performed by a surgeon in the physiotherapy clinic. There was full compliance with the foot abduction orthoses in 36 (90%) feet. Continuity of care was assured, as one practitioner was responsible for all patient contact. This was rated highly by the patient satisfaction survey. <\/jats:p><jats:p> We believe that the Ponseti technique is suitable for use by non-medical personnel, but a holistic approach and good continuity of care are essential to the success of the programme. <\/jats:p>","DOI":"10.1302\/0301-620x.88b8.17919","type":"journal-article","created":{"date-parts":[[2006,7,28]],"date-time":"2006-07-28T16:51:15Z","timestamp":1154105475000},"page":"1085-1089","source":"Crossref","is-referenced-by-count":59,"title":["Early results of a physiotherapist-delivered Ponseti service for the management of idiopathic congenital talipes equinovarus foot deformity"],"prefix":"10.1302","volume":"88-B","author":[{"given":"N.","family":"Shack","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, The Royal Free Hospital, Pond Street, London NW3 2QG, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. M.","family":"Eastwood","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870070-00025"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198302000-00003"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Turco VJ. Resistant congenital club foot: one stage posteromedial release with internal fixation: a follow-up report of a fifteen-year experience. J Bone Joint Surg [Am] 1979;61-A:805\u201314.","DOI":"10.2106\/00004623-197961060-00002"},{"key":"R4","unstructured":"Ponseti IV. Congenital club foot: fundamentals of treatment. 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