{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T19:36:02Z","timestamp":1785353762935,"version":"3.55.0"},"reference-count":28,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>In myelomeningocele children, the incidence of equinocavovarus feet, considering all foot deformities, is 25\u201336%. Treatment options consist of extensive surgeries resulting in rigid feet with better alignment. Ponseti method expanded its indications since the early 2000s, including myelodysplastic feet. However, the literature on success, recurrence, and complication rates remains sparse. Therefore, a systematic review was performed in Pubmed, Scopus, Embase, Lilacs, and Web of Science databases on October 28, 2020 and July 11, 2023. Normality and sample proportion analysis with 95% confidence intervals were estimated. Risks of bias and the quality of studies were also evaluated. Success, recurrence, and complication rates were evaluated and analyzed. Eight case series were identified with 101 patients (176 feet). According to this model, the initial success rate was 93% (95% CI = 0.88\u20130.96) with I<jats:sup>2<\/jats:sup> = 0%, and the final success was 63% (at 4.9 years of follow-up). Recurrence rate was 62% (95% CI = 50\u201372), and complication rate was 29% (95% CI = 22\u201338). Ponseti method for myelodysplastic clubfoot is effective (93% of initial correction). However, there are high complication and recurrence rates, and longer follow-up is needed to identify recurrences and urge for early intervention. Foot abduction brace should be used to avoid recurrences.<\/jats:p>","DOI":"10.1371\/journal.pone.0304909","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T17:24:57Z","timestamp":1728062697000},"page":"e0304909","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of congenital myelodysplastic clubfoot treatment by the Ponseti method\u2014Systematic review"],"prefix":"10.1371","volume":"19","author":[{"given":"Tatiana","family":"Ferreira dos Santos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8032-3077","authenticated-orcid":true,"given":"Gabriel","family":"Ferraz Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5892-2532","authenticated-orcid":true,"given":"Monica Paschoal","family":"Nogueira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"pone.0304909.ref001","volume-title":"StatPearls","author":"J Bhandari","year":"2023"},{"key":"pone.0304909.ref002","volume-title":"StatPearls","author":"M Sahni","year":"2023"},{"issue":"4","key":"pone.0304909.ref003","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.pcl.2010.07.009","article-title":"Children with Spina Bifida: Key Clinical Issues","volume":"57","author":"AD Sandler","year":"2010","journal-title":"Pediatr Clin North Am"},{"issue":"2","key":"pone.0304909.ref004","first-page":"335","article-title":"Myelomeningoceles and meningoceles: A clinicopathologic study of 43 cases","volume":"31","author":"P Karabagli","year":"2014","journal-title":"J Neurol Sci"},{"issue":"6","key":"pone.0304909.ref005","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s11832-011-0368-9","article-title":"Orthopaedic management of spina bifida-part II: Foot and ankle deformities","volume":"5","author":"VT Swaroop","year":"2011","journal-title":"J Child Orthop"},{"issue":"6","key":"pone.0304909.ref006","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1097\/01241398-199611000-00015","article-title":"Congenital Talipes Equinovarus in Spina Bifida","volume":"16","author":"J De Carvalho Neto","year":"1996","journal-title":"Treatment and Results. 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