{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:46:16Z","timestamp":1784580376734,"version":"3.55.0"},"reference-count":24,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"12","license":[{"start":{"date-parts":[[2013,12,1]],"date-time":"2013-12-01T00:00:00Z","timestamp":1385856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:p> Our goal was to evaluate the use of Ponseti\u2019s method, with minor adaptations, in the treatment of idiopathic clubfeet presenting in children between five and ten years of age. A retrospective review was performed in 36 children (55 feet) with a mean age of 7.4 years (5 to 10), supplemented by digital images and video recordings of gait. There were 19 males and 17 females. The mean follow-up was 31.5 months (24 to 40). The mean number of casts was 9.5 (6 to 11), and all children required surgery, including a percutaneous tenotomy or open tendo Achillis lengthening (49%), posterior release (34.5%), posterior medial soft-tissue release (14.5%), or soft-tissue release combined with an osteotomy (2%). The mean dorsiflexion of the ankle was 9\u00b0 (0\u00b0 to 15\u00b0). Forefoot alignment was neutral in 28 feet (51%) or adducted (&lt; 10\u00b0) in 20 feet (36%), &gt; 10\u00b0 in seven feet (13%). Hindfoot alignment was neutral or mild valgus in 26 feet (47%), mild varus (&lt; 10\u00b0) in 19 feet (35%), and varus (&gt; 10\u00b0) in ten feet (18%). Heel\u2013toe gait was present in 38 feet (86%), and 12 (28%) exhibited weight-bearing on the lateral border (out of a total of 44 feet with gait videos available for analysis). Overt relapse was identified in nine feet (16%, six children). The parents of 27 children (75%) were completely satisfied. <\/jats:p><jats:p> A plantigrade foot was achieved in 46 feet (84%) without an extensive soft-tissue release or bony procedure, although under-correction was common, and longer-term follow-up will be required to assess the outcome. <\/jats:p><jats:p> Cite this article: Bone Joint J 2013;95-B:1721\u20135. <\/jats:p>","DOI":"10.1302\/0301-620x.95b12.32173","type":"journal-article","created":{"date-parts":[[2013,11,29]],"date-time":"2013-11-29T12:03:39Z","timestamp":1385726619000},"page":"1721-1725","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":46,"title":["The Ponseti method in the treatment of children with idiopathic clubfoot presenting between five and ten years of age"],"prefix":"10.1302","volume":"95-B","author":[{"given":"B.","family":"Banskota","sequence":"first","affiliation":[{"name":"Hospital and Rehabilitation Centre for\rDisabled Children, Banepa, P.O.\rBox 6757, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. K.","family":"Banskota","sequence":"additional","affiliation":[{"name":"Hospital and Rehabilitation Centre for\rDisabled Children, Banepa, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Regmi","sequence":"additional","affiliation":[{"name":"Hospital and Rehabilitation Centre for\rDisabled Children, Banepa, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Rajbhandary","sequence":"additional","affiliation":[{"name":"Hospital and Rehabilitation Centre for\rDisabled Children, Banepa, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. P.","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Hospital and Rehabilitation Centre for\rDisabled Children, Banepa, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. A.","family":"Spiegel","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Division\rof Orthopaedic Surgery, 2nd Floor Wood Building, 34th\rStreet and Civic Center Blvd., Philadelphia, Pennsylvania\r19106, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199510000-00002"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000162015.44865.5e"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B4.14120"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-003-0620-6"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200307000-00015"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200509000-00008"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B9.26947"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000201147.12292.6b"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e328347a329"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-200X.2010.03201.x"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B3.24450"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200605000-00009"},{"key":"r13","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00003086-198110000-00003","volume":"160","author":"Ponseti IV","year":"1981","journal-title":"Clin Orthop Relat Res"},{"key":"r14","unstructured":"Ponseti IV. Congenital clubfoot: fundamentals of treatment. Oxford: Oxford Medical Publication, 1996."},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e3283387cc8"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B3.18313"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0600-1"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000164876.97949.6b"},{"key":"r19","unstructured":"Pirani S, Outerbridge HK, Sawatzky B, Stothers K. A reliable method of clinically evaluating a virgin clubfoot evaluation. 21st SICOT conference, 1999."},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199504020-00002"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0746-5"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0699-0"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181c6c4de"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0702-9"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.95B12.32173","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.95B12.32173","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.95B12.32173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T01:03:06Z","timestamp":1634605386000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.95B12.32173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.1302\/0301-620X.95B12.32173"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.95b12.32173","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12]]},"assertion":[{"value":"2013-04-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-07-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-12-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}