{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:23:37Z","timestamp":1787315017884,"version":"build-2736575974"},"reference-count":27,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T00:00:00Z","timestamp":1254355200000},"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":[[2009,10]]},"abstract":"<jats:p>The outcome in 83 patients with congenital clubfoot was evaluated at a mean age of 64 years using three validated questionnaires assessing both quality of life (short-form (SF)-36 and EQ-5D) and foot and ankle function (American Academy of Orthopaedic Surgeons (AAOS) Foot and Ankle questionnaire). In SF-36, male patients scored significantly better than male norms in seven of the eight domains, whereas female patients scored significantly worse than female norms in two of the eight. Male patients scored better than male norms in both the EQ-5D index (p = 0.027) and visual analogue scale (VAS) (p = 0.013), whereas female patients scored worse than female norms in the VAS (p &lt; 0.001). Both male and female patients had a significantly worse outcome on the AAOS Core Scale than did norms. There was a significant correlation for both genders between the SF-36 Physical Component Summary Score and the AAOS Core Scale.<\/jats:p>\n                  <jats:p>The influence on activities of daily life was limited to foot and ankle problems in all patients, and in females there was an adverse effect in physical aspects of quality of life.<\/jats:p>","DOI":"10.1302\/0301-620x.91b10.22796","type":"journal-article","created":{"date-parts":[[2009,9,30]],"date-time":"2009-09-30T17:33:15Z","timestamp":1254331995000},"page":"1316-1321","source":"Crossref","is-referenced-by-count":9,"title":["Patient-reported outcome at 62 to 67 years of age in 83 patients treated for congenital clubfoot"],"prefix":"10.1302","volume":"91-B","author":[{"given":"H.","family":"Wallander","sequence":"first","affiliation":[{"name":"Department of Orthopaedics G\u00e4vle County Hospital, SE 80187 G\u00e4vle, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Larsson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Uppsala University Hospital, SE 75185 Uppsala, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Bj\u00f6nness","sequence":"additional","affiliation":[{"name":"V\u00e4stragatan 40, SE-44231 Kung\u00e4lv, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Hansson","sequence":"additional","affiliation":[{"name":"The Queen Silvia Children\u2019s Hospital, SE-41685 Gothenburg, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Wallander H, Hovelius L, Michaelsson K.\n                      Incidence of congenital clubfoot in Sweden. Acta Orthopaedica 2006;776:847\u201352.","DOI":"10.1080\/17453670610013123"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199001000-00022"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Dobbs MB, Nunley R, Schoenecker PL.\n                      Long-term follow-up of patients with clubfeet treated with extensive soft-tissue release. J Bone Joint Surg [Am] 2006;88-A:986\u201396.","DOI":"10.2106\/00004623-200605000-00009"},{"key":"R4","unstructured":"Ponseti IV.\n                      Relapsing clubfoot: causes, prevention, and treatment. Iowa Orthop J 2002;22:55\u20136."},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.2.376"},{"key":"R6","unstructured":"Dietz FR.\n                      Treatment of a recurrent clubfoot deformity after initial correction with the Ponseti technique. Instr Course Lect 2006;55:625\u20139."},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Harvey AR, Uglow MG, Clarke NM.\n                      Clinical and functional outcome of relapse surgery in severe congenital talipes equinovarus. J Pediatr Orthop B 2003;12:49\u201355.","DOI":"10.1097\/01202412-200301000-00009"},{"key":"R8","unstructured":"Atar D, Lehman WB, Grant AD.\n                      Complications in clubfoot surgery. Orthop Rev 1991;20:233\u20139."},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B3.0840426"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B1.19329"},{"key":"R11","unstructured":"Crawford AH, Gupta AK.\n                      Clubfoot controversies: complications and causes for failure. Instr Course Lect 1996;45:339\u201346."},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200307000-00015"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199510000-00002"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062010-00004"},{"key":"R15","unstructured":"Bj\u00f6nness T.\n                      Medf\u00f6dd klumpfot\n                      . Department of Orthopaedics. Vol. PhD. Gothenburg: Gothenburg, 1974:61."},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.67B5.4055883"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.3109\/17453677508989272"},{"key":"R18","unstructured":"Sullivan MK, Karlsson J, Taft C, Ware JE.\n                      SF-36 h\u00e4lsoenk\u00e4t: svensk manual och tolknonsguide, 2: a upplagan (Swedish Manual and Interpretation guide, 2nd ed). Sahlgren University Hospital, 2002."},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(96)00822-6"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1050(199603)5:2<141::AID-HEC189>3.0.CO;2-N"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1023\/A:1013171831202"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Johanson NA, Liang MH, Daltroy L, Rudicel S, Richmond J.\n                      American Academy of Orthopaedic Surgeons lower limb outcomes assessment instruments: reliability, validity, and sensitivity to change. J Bone Joint Surg [Am] 2004;86-A:902\u20139.","DOI":"10.2106\/00004623-200405000-00003"},{"key":"R24","unstructured":"Eriksson E, Nordlund A.\n                      Health and heath related quality of life as measured by the EQ-5D and the SF-36 in South East Sweden: results from two population surveys. Link\u00f6ping: Folkh\u00e4lsoventenskapligt Centrum, 2002."},{"key":"R25","unstructured":"Bowling A.\n                      Measuring health: a review of quality of life measurement scales\n                      . Third ed. Berkshire: Buckingham Open University Pr, 2005:211."},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199504020-00002"},{"key":"R27","unstructured":"Pirani S, Outerbridge H, Moran M, Sawatsky B.\n                      A method of evaluating the virgin clubfoot with substantial inter-observer reliability.\n                      POSNA\n                      Miami, Florida, 1995."}],"container-title":["The Journal of Bone and Joint Surgery. 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