{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:56:12Z","timestamp":1761807372467},"reference-count":7,"publisher":"Royal College of Surgeons of England","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> The Ponseti technique is a well-proven way of managing paediatric clubfoot deformity. We describe a management set-up which spreads the care between secondary and tertiary care with no loss of quality. <\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS AND METHODS<\/jats:title><jats:p> In our audit of the first 2 years of Ponseti casting in the treatment of idiopathic congenital talipes equinovarus (CTEV, clubfoot) deformity, we identified 77 feet having been treated in 50 patients. Forty-nine feet were treated primarily in Oswestry, a tertiary referral centre for paediatric orthopaedic conditions, and 13 feet were treated in conjunction with the physiotherapy department at one of the region's district general hospitals (Leighton Hospital, Crewe, Cheshire). <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> Similar good results and low requirement for surgical interventions other than Achilles tenotomy, which forms part of the Ponseti regimen, were found in both cohorts. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p> This \u2018hub-and-spoke\u2019 approach would appear to be efficient in terms of resource utilisation. Additional benefits atients and their carers include ease of access to services and reduced financial and transport burdens. <\/jats:p><\/jats:sec>","DOI":"10.1308\/003588407x187739","type":"journal-article","created":{"date-parts":[[2007,8,1]],"date-time":"2007-08-01T23:34:52Z","timestamp":1186011292000},"page":"510-512","source":"Crossref","is-referenced-by-count":17,"title":["Ponseti Treatment in the Management of Clubfoot Deformity \u2013 A Continuing Role for Paediatric Orthopaedic Services in Secondary Care Centres"],"prefix":"10.1308","volume":"89","author":[{"given":"Charles EJ","family":"Docker","sequence":"first","affiliation":[{"name":"Department of Paediatric Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital Gobowen, Shropshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Lewthwaite","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital Gobowen, Shropshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel T","family":"Kiely","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital Gobowen, Shropshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345020-00004"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274030-00021"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199510000-00002"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200207000-00019"},{"key":"b5","volume-title":"A method of assessing the virgin clubfoot","author":"Pirani S","year":"1995"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199805000-00010"},{"key":"b7","first-page":"133","volume":"12","author":"Lehman WB","year":"2003","journal-title":"J Pediatr Orthop B"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/003588407X187739","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:58:10Z","timestamp":1684144690000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/003588407X187739"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2007,7]]}},"alternative-id":["10.1308\/003588407X187739"],"URL":"https:\/\/doi.org\/10.1308\/003588407x187739","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7]]}}}