{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T05:49:26Z","timestamp":1775627366998,"version":"3.50.1"},"reference-count":18,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T00:00:00Z","timestamp":1412121600000},"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":[[2014,10]]},"abstract":"<jats:p> We report the effect of introducing a dedicated Ponseti service on the five-year treatment outcomes of children with idiopathic clubfoot. <\/jats:p><jats:p> Between 2002 and 2004, 100 feet (66 children; 50 boys and 16 girls) were treated in a general paediatric orthopaedic clinic. Of these, 96 feet (96%) responded to initial casting, 85 requiring a tenotomy of the tendo-Achillis. Recurrent deformity occurred in 38 feet and was successfully treated in 22 by repeat casting and\/or tenotomy and\/or transfer of the tendon of tibialis anterior, The remaining 16 required an extensive surgical release. <\/jats:p><jats:p> Between 2005 and 2006, 72 feet (53 children; 33 boys and 20 girls) were treated in a dedicated multidisciplinary Ponseti clinic. All responded to initial casting: 60 feet (83.3%) required a tenotomy of the tendo-Achillis. Recurrent deformity developed in 14, 11 of which were successfully treated by repeat casting and\/or tenotomy and\/or transfer of the tendon of tibialis anterior. The other three required an extensive surgical release. <\/jats:p><jats:p> Statistical analysis showed that children treated in the dedicated Ponseti clinic had a lower rate of recurrence (p = 0.068) and a lower rate of surgical release (p = 0.01) than those treated in the general clinic. <\/jats:p><jats:p> This study shows that a dedicated Ponseti clinic, run by a well-trained multidisciplinary team, can improve the outcome of idiopathic clubfoot deformity. <\/jats:p><jats:p> Cite this article: Bone Joint J 2014;96-B:1424\u20136 <\/jats:p>","DOI":"10.1302\/0301-620x.96b10.33612","type":"journal-article","created":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T14:02:58Z","timestamp":1412172178000},"page":"1424-1426","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":25,"title":["The effect of a dedicated Ponseti service on the outcome of idiopathic clubfoot treatment"],"prefix":"10.1302","volume":"96-B","author":[{"given":"A. I. W.","family":"Mayne","sequence":"first","affiliation":[{"name":"Alder Hey Children's Hospital, Department\rof Orthopaedics, Liverpool, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. S.","family":"Bidwai","sequence":"additional","affiliation":[{"name":"Alder Hey Children's Hospital, Department\rof Orthopaedics, Liverpool, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Beirne","sequence":"additional","affiliation":[{"name":"Alder Hey Children's Hospital, Department\rof Orthopaedics, Liverpool, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. K.","family":"Garg","sequence":"additional","affiliation":[{"name":"Alder Hey Children's Hospital, Department\rof Orthopaedics, Liverpool, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. E.","family":"Bruce","sequence":"additional","affiliation":[{"name":"Alder Hey Children's Hospital, Department\rof Orthopaedics, Liverpool, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.3109\/17453679209154759"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199203000-00012"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200207000-00019"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B8.19008"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c355"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0734-9"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B9.26947"},{"key":"r8","unstructured":"Ponseti IVCongenital club foot: fundamentals of treatment. 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