{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:32:35Z","timestamp":1791333155183,"version":"4.3.1"},"reference-count":18,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"1","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"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":[[2008,1]]},"abstract":"<jats:p> Rocker bottom deformity may occur during the conservative treatment of idiopathic congenital clubfoot. Between 1975 and 1996, we treated 715 patients (1120 clubfeet) conservatively. A total of 23 patients (36 feet; 3.2%) developed a rocker bottom deformity. It is these patients that we have studied. The pathoanatomy of the rocker bottom deformity is characterised by a plantar convexity appearing between three and six months of age with the hindfoot equinus position remaining constant. The convexity initially involves the medial column, radiologically identified by the talo-first metatarsal angle and secondly by the lateral column, revealed radiologically as the calcaneo-fifth metatarsal angle. The apex of the deformity is usually at the midtrasal with a dorsal calcaneocuboid subluxation. Ideal management of clubfoot deformity should avoid this complication, with adequate manipulation and splinting and early Achilles\u2019 percutaneous tenotomy if plantar convexity occurs. <\/jats:p><jats:p> Adequate soft-tissue release provides satisfactory correction for rocker bottom deformity. However, this deformity requires more extensive and complex procedures than the standard surgical treatment of clubfoot. The need for lateral radiographs to ensure that the rocker bottom deformity is recognised early, is demonstrated. <\/jats:p>","DOI":"10.1302\/0301-620x.90b1.19329","type":"journal-article","created":{"date-parts":[[2007,12,26]],"date-time":"2007-12-26T16:07:43Z","timestamp":1198685263000},"page":"57-60","source":"Crossref","is-referenced-by-count":34,"title":["The incidence and treatment of rocker bottom deformity as a complication of the conservative treatment of idiopathic congenital clubfoot"],"prefix":"10.1302","volume":"90-B","author":[{"given":"G.","family":"Koureas","sequence":"first","affiliation":[{"name":"Kokkinou 12-14 & Zaimi st, TK 27100, Pyrgos, Ilias, Greece."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Rampal","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Saint-Vincent-de-Paul Hospital (APHP), 74-82 avenue Denfert-Rochereau, 75674 Paris Cedex 14, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Mascard","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Saint-Vincent-de-Paul Hospital (APHP), 74-82 avenue Denfert-Rochereau, 75674 Paris Cedex 14, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Seringe","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Saint-Vincent-de-Paul Hospital (APHP), 74-82 avenue Denfert-Rochereau, 75674 Paris Cedex 14, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Wicart","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Saint-Vincent-de-Paul Hospital (APHP), 74-82 avenue Denfert-Rochereau, 75674 Paris Cedex 14, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Carey M, Bower C, Mylvaganan A, Rouse I. Talipes equinovarus in Western Australia. Paediatr Perinat Epidemiol 2003;17:1987\u201394.","DOI":"10.1046\/j.1365-3016.2003.00477.x"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Moorthi RN, Hashmiss SSW, Langlois P, et al. Idiopathic talipes equinovarus (ITEV) (clubfeet). Am J Med Genet A 2005;132:376\u201380.","DOI":"10.1002\/ajmg.a.30505"},{"key":"R3","unstructured":"Ventura SJ, Martin JA, Curtin SC, Mathews TJ. Report of final natality statistics, 1996. Mon Vital Stat Rep 1998;46(Suppl):1\u201399."},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.3109\/17453676908989546"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197205000-00008"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197205000-00007"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.65B1.6822607"},{"key":"R8","unstructured":"Seringe R, Atia R. Idiopathic congenital club foot: results of functional treatment (269 feet). Rev Chir Orthop Reparatrice Appar Mot 1990;76:490\u2013501 (in French)."},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199605030-00007"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.2.376"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Ponseti IV, Zhinkov M, Davis N, et al. Treatment of the complex idiopathic clubfoot. Clin Orthop 2006;45:171\u20136.","DOI":"10.1097\/01.blo.0000224062.39990.48"},{"key":"R12","unstructured":"Ponseti IV. Congenital clubfoot. In: Fundamentals, of treatment. Oxford: Oxford Medical Publications, 1996:133\u201380."},{"key":"R13","unstructured":"Crawford AH, Gupta AK. Clubfoot controversies: complications and causes for failure. Instr Course Lect 1996;45:339\u201346."},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199504020-00002"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Wicart PR, Barthes X, Ghanem I, Seringe R. Clubfoot posteromedial release: advantages of tibialis anterior tendon lengthening. J Pediatr Orthop 2002;22:526\u201332.","DOI":"10.1097\/01241398-200207000-00021"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Lichtblau S. A medial and lateral release operation for clubfoot: a preliminary report. J Bone Joint Surg [Am] 1973;55-A:1377\u201384.","DOI":"10.2106\/00004623-197355070-00004"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.63B3.7263758"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Radler C, Manner HM, Suda R, et al. Radiographic evaluation of idiopathic clubfeet undergoing Ponseti treatment. J Bone Joint Surg [Am] 2007;89-A:1177\u201383.","DOI":"10.2106\/00004623-200706000-00004"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.90B1.19329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.90B1.19329","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.90B1.19329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:13:43Z","timestamp":1629137623000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.90B1.19329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,1]]}},"alternative-id":["10.1302\/0301-620X.90B1.19329"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.90b1.19329","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,1]]}}}