{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:56:46Z","timestamp":1777510606069,"version":"3.51.4"},"reference-count":17,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"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":[[2009,11]]},"abstract":"<jats:p> We reviewed the results of a selective \u00e0 la carte soft-tissue release operation for recurrent or residual deformity after initial conservative treatment for idiopathic clubfoot by the Ponseti method. Recurrent or residual deformity occurred in 13 (19 feet) of 33 patients (48 feet; 40%). The mean age at surgery was 2.3 years (1.3 to 4) and the mean follow-up was 3.6 years (2 to 5.3). The mean Pirani score had improved from 2.8 to 1.1 points, and the clinical and radiological results were satisfactory in all patients. However, six of the 13 patients (9 of 19 feet) had required further surgery in the form of tibial derotation osteotomy, split anterior tibialis tendon transfer, split posterior tibialis transfer or a combination of these for recurrent deformity. <\/jats:p><jats:p> We concluded that selective soft-tissue release can provide satisfactory early results after failure of initial treatment of clubfoot by the Ponseti method, but long-term follow-up to skeletal maturity will be necessary. <\/jats:p>","DOI":"10.1302\/0301-620x.91b11.22327","type":"journal-article","created":{"date-parts":[[2009,10,31]],"date-time":"2009-10-31T21:17:52Z","timestamp":1257023872000},"page":"1526-1530","source":"Crossref","is-referenced-by-count":30,"title":["Selective soft-tissue release for recurrent or residual deformity after conservative treatment of idiopathic clubfoot"],"prefix":"10.1302","volume":"91-B","author":[{"given":"S.-S.","family":"Park","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Asan Medical Center, University of Ulsan College of Medicine, 86, Asanbyeongwongil, Songpa-gu, Seoul 138-736, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. W.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Ulsan University Hospital, 290-3, Jeonha-dong Dong-gu, Ulsan 682-714, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.-S.","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Asan Medical Center, University of Ulsan College of Medicine, 86, Asanbyeongwongil, Songpa-gu, Seoul 138-736, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. S.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Asan Medical Center, University of Ulsan College of Medicine, 86, Asanbyeongwongil, Songpa-gu, Seoul 138-736, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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