{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T06:50:47Z","timestamp":1655880647330},"reference-count":42,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T00:00:00Z","timestamp":1359676800000},"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":[[2013,2]]},"abstract":"<jats:p> The Ponseti and French taping methods have reduced the incidence of major surgery in congenital idiopathic clubfoot but incur a significant burden of care, including heel-cord tenotomy. We developed a non-operative regime to reduce treatment intensity without affecting outcome. We treated 402 primary idiopathic clubfeet in patients aged &lt; three months who presented between September 1991 and August 2008. Their Harrold and Walker grades were 6.0% mild, 25.6% moderate and 68.4% severe. All underwent a dynamic outpatient taping regime over five weeks based on Ponseti manipulation, modified Jones strapping and home exercises. Feet with residual equinus (six feet, 1.5%) or relapse within six months (83 feet, 20.9%) underwent one to three additional tapings. Correction was maintained with below-knee splints, exercises and shoes. The clinical outcome at three years of age (385 feet, 95.8% follow-up) showed that taping alone corrected 357 feet (92.7%, \u2018good\u2019). Late relapses or failure of taping required limited posterior release in 20 feet (5.2%, \u2018fair\u2019) or posteromedial release in eight feet (2.1%, \u2018poor\u2019). The long-term (&gt; 10 years) outcomes in 44 feet (23.8% follow-up) were assessed by the Laaveg\u2013Ponseti method as excellent (23 feet, 52.3%), good (17 feet, 38.6%), fair (three feet, 6.8%) or poor (one foot, 2.3%). These compare favourably with published long-term results of the Ponseti or French methods. This dynamic taping regime is a simple non-operative method that delivers improved medium-term and promising long-term results. <\/jats:p><jats:p> Cite this article: Bone Joint J 2013;95-B:271\u20138. <\/jats:p>","DOI":"10.1302\/0301-620x.95b2.30641","type":"journal-article","created":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T17:18:30Z","timestamp":1359566310000},"page":"271-278","update-policy":"http:\/\/dx.doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Outpatient taping in the treatment of idiopathic congenital talipes equinovarus"],"prefix":"10.1302","volume":"95-B","author":[{"given":"A. K.","family":"Singh","sequence":"first","affiliation":[{"name":"King's College Hospital, Denmark\rHill, London SE5 9RS, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Roshan","sequence":"additional","affiliation":[{"name":"Addenbrooke\u2019s Hospital, Hills\rRoad, Cambridge CB2 0QQ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Ram","sequence":"additional","affiliation":[{"name":"Advanced Orthopaedic Centre, 160\/C, Road\rNo 3, Rajendra Nagar, Patna\r800 016, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e32834a99f2"},{"key":"r2","unstructured":"Brockman EP. Historical survey of the literature. In: Brockman EP, Chir M, eds. Congenital club-foot (talipes equinovarus). Bristol: John Wright &\n Sons Ltd, 1930:1\u201320."},{"key":"r3","unstructured":"Jones R, Lovett RW. Club-foot. In: Orthopaedic surgery. Second ed. London: Oxford University Press 1929:614\u2013633."},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2004.11927952"},{"key":"r5","first-page":"59","volume":"20","author":"Dobbs MB","year":"2000","journal-title":"Iowa Orthop J"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4002.570"},{"key":"r7","first-page":"595","volume":"21","author":"Kite JH","year":"1939","journal-title":"J Bone Joint Surg"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345020-00004"},{"key":"r9","unstructured":"Fixsen JA, Lloyd-Roberts GC. Talipes equino-varus. In: The foot in childhood. London: Churchill-Livingstone, 1988:31\u201356."},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062010-00004"},{"key":"r11","unstructured":"Masse P. Le traitment du pied bot par la methode \u201cfunctionelle\u201d. In: Caheir d\u2019Enseignement de las SOFCOT. Paris: Expansion Scientifique, 1978:51\u201356 (in French)."},{"key":"r12","unstructured":"Bensahel H, Desgrippes Y, Billot C. Comments about 600 clubfeet. Chir Pediatr 1980;21:335\u2013342 (in French)."},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-007-0043-3"},{"key":"r14","unstructured":"Staheli L, Ponseti IV. Global HELP. Clubfoot: Ponseti Management. 3rd ed. 2009:1\u201332. http:\/\/www.global-help.org\/publications\/books\/book_cfponseti.html (date last accessed 19 December 2012)."},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e32834ee5f8"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00369"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.65B1.6822607"},{"key":"r18","unstructured":"Pirani S, Outerbridge HK, Sawatzky B, Stothers K. A reliable method of clinically evaluating a virgin clubfoot evaluation. 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