{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:16:33Z","timestamp":1781237793829,"version":"3.54.1"},"reference-count":16,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"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":[[2011,5]]},"abstract":"<jats:p> The Ponseti method of clubfoot management requires a period of bracing in order to maintain correction. This study compared the effectiveness of ankle foot orthoses and Denis Browne boots and bar in the prevention of recurrence following successful initial management. Between 2001 and 2003, 45 children (69 feet) with idiopathic clubfeet achieved full correction following Ponseti casting with or without a tenotomy, of whom 17 (30 clubfeet) were braced with an ankle foot orthosis while 28 (39 clubfeet) were prescribed with Denis Browne boots and bar. The groups were similar in age, gender, number of casts and tenotomy rates. The mean follow-up was 60 months (50 to 72) in the ankle foot orthosis group and 47 months (36 to 60) in the group with boots and bars. Recurrence requiring additional treatment occurred in 25 of 30 (83%) of the ankle foot orthosis group and 12 of 39 (31%) of the group with boots and bars (p &lt; 0.001). Additional procedures included repeat tenotomy (four in the ankle foot orthosis group and five in the group treated with boot and bars), limited posterior release with or without tendon transfers (seven in the ankle foot orthosis group and two in the group treated with boots and bars), posteromedial releases (nine in the orthosis group) and midfoot osteotomies (five in the orthosis group, p &lt; 0.001). <\/jats:p><jats:p> Following initial correction by the Ponseti method, children managed with boots and bars had far fewer recurrences than those managed with ankle foot orthoses. Foot abduction appears to be important to maintain correction of clubfeet treated by the Ponseti method, and this cannot be achieved with an ankle foot orthosis. <\/jats:p>","DOI":"10.1302\/0301-620x.93b5.24883","type":"journal-article","created":{"date-parts":[[2011,4,21]],"date-time":"2011-04-21T16:23:37Z","timestamp":1303403017000},"page":"700-704","source":"Crossref","is-referenced-by-count":64,"title":["A comparison of ankle foot orthoses with foot abduction orthoses to prevent recurrence following correction of idiopathic clubfoot by the Ponseti method"],"prefix":"10.1302","volume":"93-B","author":[{"given":"J. A.","family":"Janicki","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Northwestern University, 2300 Children\u2019s Plaza, Box 69, Chicago, IL 60614, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. G.","family":"Wright","sequence":"additional","affiliation":[{"name":"Departments of Surgery; Public Health Sciences; Health Policy; Management and Evaluation University of Toronto, Robert B. Salter Chair of Surgical Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Weir","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toronto, Devision of Orthopaedic Surgery and Child Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, S-107 Toronto, Ontario M5G 1X8, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U. G.","family":"Narayanan","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toronto, Devision of Orthopaedic Surgery and Child Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, S-107 Toronto, Ontario M5G 1X8, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200207000-00019"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Lehman WB, Mohaideen A, Madan S, et al. A method for the early evaluation of the Ponseti (Iowa) technique for the treatment of idiopathic clubfoot. 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