{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:22:00Z","timestamp":1790774520010,"version":"4.1.0"},"reference-count":15,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2011,3,1]],"date-time":"2011-03-01T00:00:00Z","timestamp":1298937600000},"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":[[2011,3]]},"abstract":"<jats:p> We conducted a prospective randomised controlled trial to compare the standard Ponseti plaster method with an accelerated method for the treatment of idiopathic congenital talipes equinovarus. The standard weekly plaster-change method was accelerated to three times per week. We hypothesised that both methods would be equally effective in achieving correction. A total of 40 consecutive patients (61 feet) were entered into the trial. The initial median Pirani score was 5.5 (95% confidence interval 4.5 to 6.0) in the accelerated group and 5.0 (95% confidence interval 4.0 to 5.0) in the standard control group. The scores decreased by an average 4.5 in the accelerated group and 4.0 in the control group. There was no significant difference in the final Pirani score between the two groups (chi-squared test, p = 0.308). The median number of treatment days in plaster was 16 in the accelerated group and 42 in the control group (p &lt; 0.001). Of the 19 patients in the accelerated group, three required plaster treatment for more than 21 days and were then assigned to the standard control method. Of the 40 patients, 36 were followed for a minimum of six months. <\/jats:p><jats:p> These results suggest that comparable outcomes can be achieved with an accelerated Ponseti method. The ability to complete all necessary manipulations within a three-week period facilitates treatment where patients have to travel long distances. <\/jats:p>","DOI":"10.1302\/0301-620x.93b3.24450","type":"journal-article","created":{"date-parts":[[2011,3,1]],"date-time":"2011-03-01T22:09:34Z","timestamp":1299017374000},"page":"404-408","source":"Crossref","is-referenced-by-count":42,"title":["An accelerated Ponseti <i>versus<\/i> the standard Ponseti method"],"prefix":"10.1302","volume":"93-B","author":[{"given":"P.","family":"Harnett","sequence":"first","affiliation":[{"name":"Beit CURE International Hospital, PO Box 31236, Blantyre 3, Malawi."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Freeman","sequence":"additional","affiliation":[{"name":"The Robert Jones and Agnes, Hunt Orthopaedic and District Hospital NHS Trust, Oswestry, Shropshire SY10 7AG, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. J.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Beit CURE International Hospital, PO Box 31236, Blantyre 3, Malawi."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. C.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Imperial College London, 4th Floor, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Beckles","sequence":"additional","affiliation":[{"name":"Barking, Havering and Redbridge University Hospitals, NHS Trust, Rom Valley Way, Romford, Essex RM7 0AG, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Mkandawire NC, Kaunda E. Incidence and patterns of congenital talipes equinovarus (clubfoot) deformity at Queen Elizabeth Central Hospital, Banter, Malawi. East Afr J Surg 2004;9:28\u201331."},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B8.19008"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1159\/000152236"},{"key":"R4","unstructured":"Pirani S. Pirani severity scoring. In: Staheli I, ed. Clubfoot: Ponseti management. Third ed. Global-HELP, 2009:27. http:\/\/www.global-help.org\/Publications\/books\/ (date last accessed 22 November 2010)."},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199805000-00010"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199510000-00002"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.2.376"},{"key":"R8","unstructured":"Ponseti IV. Congenital clubfoot: fundamentals of treatment. 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British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B3.24450","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.93B3.24450","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B3.24450","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:02:17Z","timestamp":1629140537000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.93B3.24450"}},"subtitle":["A PROSPECTIVE RANDOMISED CONTROLLED TRIAL"],"short-title":[],"issued":{"date-parts":[[2011,3]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["10.1302\/0301-620X.93B3.24450"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.93b3.24450","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3]]}}}