{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:52:48Z","timestamp":1793656368785,"version":"4.5.1"},"reference-count":25,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,2,1]]},"abstract":"<jats:p>Objectives. The purpose of this study was to evaluate the efficacy of the Ponseti method in reducing extensive corrective surgery rates for congenital idiopathic clubfoot.<\/jats:p>\n               <jats:p>Methods. Consecutive case series were conducted from January 1991 through December 2001. A total of 157 patients (256 clubfeet) were evaluated. All patients were treated by serial manipulation and casting as described by Ponseti. Main outcome measures included initial correction of the deformity, extensive corrective surgery rate, and relapses.<\/jats:p>\n               <jats:p>Results. Clubfoot correction was obtained in all but 3 patients (98%). Ninety percent of patients required \u22645 casts for correction. Average time for full correction of the deformity was 20 days (range: 14\u201324 days). Only 4 (2.5%) patients required extensive corrective surgery. There were 17 (11%) relapses. Relapses were unrelated to age at presentation, previous unsuccessful treatment, or severity of the deformity (as measured by the number of Ponseti casts needed for correction). Relapses were related to noncompliance with the foot-abduction brace. Four patients (2.5%) underwent an anterior tibial tendon transfer to prevent further relapses.<\/jats:p>\n               <jats:p>Conclusions. The Ponseti method is a safe and effective treatment for congenital idiopathic clubfoot and radically decreases the need for extensive corrective surgery. This technique can be used in children up to 2 years of age even after previous unsuccessful nonsurgical treatment.<\/jats:p>","DOI":"10.1542\/peds.113.2.376","type":"journal-article","created":{"date-parts":[[2004,8,14]],"date-time":"2004-08-14T00:53:04Z","timestamp":1092444784000},"page":"376-380","source":"Crossref","is-referenced-by-count":484,"title":["Radical Reduction in the Rate of Extensive Corrective Surgery for Clubfoot Using the Ponseti Method"],"prefix":"10.1542","volume":"113","author":[{"given":"Jose A.","family":"Morcuende","sequence":"first","affiliation":[{"name":"From the Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori A.","family":"Dolan","sequence":"additional","affiliation":[{"name":"From the Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick R.","family":"Dietz","sequence":"additional","affiliation":[{"name":"From the Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio V.","family":"Ponseti","sequence":"additional","affiliation":[{"name":"From the Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2004,2,1]]},"reference":[{"key":"2021121011014297100_R1","unstructured":"Ventura SJ, Martin, JA, Curtin, SC, Mathews TJ. Report of final natality statistics, 1996. Mon Vital Stat Rep.1998;46(suppl):1\u201399"},{"key":"2021121011014297100_R2","doi-asserted-by":"crossref","unstructured":"Kite JH. Nonoperative treatment of congenital clubfoot. Clin Orthop.1972;84:29\u201338","DOI":"10.1097\/00003086-197205000-00007"},{"key":"2021121011014297100_R3","doi-asserted-by":"crossref","unstructured":"Dimeglio A, Bonnet F, Mazeau PH, De Rosa V. Orthopaedic treatment and passive motion machine: consequences for the surgical treatment of clubfoot. J Pediatr Orthop B.1996;5:173\u2013180","DOI":"10.1097\/01202412-199605030-00007"},{"key":"2021121011014297100_R4","doi-asserted-by":"crossref","unstructured":"Dewaele J, Zachee B, De Vleeschauwer P, Fabry G. Treatment of idiopathic clubfoot: critical evaluation of different types of treatment programs. J Pediatr Orthop.1994;3:89\u201395","DOI":"10.1097\/01202412-199403010-00016"},{"key":"2021121011014297100_R5","doi-asserted-by":"crossref","unstructured":"Turco VJ. Resistant congenital clubfoot: one-stage posteromedial release with internal fixation: a follow-up report of a fifteen-year experience. J Bone Joint Surg Am.1979;61:805\u2013814","DOI":"10.2106\/00004623-197961060-00002"},{"key":"2021121011014297100_R6","doi-asserted-by":"crossref","unstructured":"Crawford AH, Marxen JL, Osterfeld Dl. The Cincinnati incision: a comprehensive approach for surgical procedures of the foot and ankle in childhood. J Bone Joint Surg Am.1982;64:1355\u20131358","DOI":"10.2106\/00004623-198264090-00011"},{"key":"2021121011014297100_R7","doi-asserted-by":"crossref","unstructured":"Simons GW. Complete subtalar release in clubfeet. I: a preliminary report. J Bone Joint Surg Am.1985;67:1044\u20131055","DOI":"10.2106\/00004623-198567070-00008"},{"key":"2021121011014297100_R8","doi-asserted-by":"crossref","unstructured":"Green ADL, Lloyd-Roberts GC. The results of early posterior release in resistant club feet. A long-term review. J Bone Joint Surg Br.1985;67:588","DOI":"10.1302\/0301-620X.67B4.4030856"},{"key":"2021121011014297100_R9","doi-asserted-by":"crossref","unstructured":"Aronson J, Puskarich CL. Deformity and disability from treated clubfoot. J Pediatr Orthop.1990;10:109\u2013112","DOI":"10.1097\/01241398-199001000-00022"},{"key":"2021121011014297100_R10","unstructured":"Crawford AH, Gupta AK. Clubfoot controversies: complications and causes for failure. Instr Course Lect.1991;45:339\u2013346"},{"key":"2021121011014297100_R11","unstructured":"Atar D, Lehman WB, Grant AD. Complications in clubfoot surgery. Orthop Rev.1991;20:233\u2013239"},{"key":"2021121011014297100_R12","doi-asserted-by":"crossref","unstructured":"Vizkelety T, Szepesi K. Reoperation in treatment of clubfoot. J Pediatr Orthop.1989;9:144\u2013147","DOI":"10.1097\/01241398-198903000-00004"},{"key":"2021121011014297100_R13","doi-asserted-by":"crossref","unstructured":"Tarraf YN, Carroll NC. Analysis of the components of residual deformity in clubfeet presenting for reoperation. J Pediatr Orthop.1992;12:207\u2013216","DOI":"10.1097\/01241398-199203000-00011"},{"key":"2021121011014297100_R14","doi-asserted-by":"crossref","unstructured":"Krauspe R, Vispo Seara JL, Lohr JF. Long-term results after surgery for congenital clubfoot. Foot Ankle Surg.1996;2:77\u201382","DOI":"10.1046\/j.1460-9584.1996.00014.x"},{"key":"2021121011014297100_R15","doi-asserted-by":"crossref","unstructured":"Sobel E, Giorgini RJ, Michel R, Cohen SL. The natural history and longitudinal study of the surgically corrected clubfoot. J Foot Ankle Surg.2000;5:305\u2013320","DOI":"10.1016\/S1067-2516(00)80047-2"},{"key":"2021121011014297100_R16","doi-asserted-by":"crossref","unstructured":"Uglow MG, Clarke NM. Relapse in staged surgery for congenital talipes equinovarus. J Bone Joint Surg Br.2000;82:739\u2013743","DOI":"10.1302\/0301-620X.82B5.0820739"},{"key":"2021121011014297100_R17","doi-asserted-by":"crossref","unstructured":"Bradish CF, Noor S. The Ilizarov method in the management of relapsed club feet. J Bone Joint Surg Br.2000;82:387\u2013391","DOI":"10.1302\/0301-620X.82B3.0820387"},{"key":"2021121011014297100_R18","unstructured":"Ponseti IV. Congenital Clubfoot: Fundamentals of Treatment. Oxford, England: Oxford University Press; 1996"},{"key":"2021121011014297100_R19","doi-asserted-by":"crossref","unstructured":"Ponseti IV, Smoley EN. Congenital clubfoot: the results of treatment. J Bone Joint Surg Am.1963;45:261\u2013275","DOI":"10.2106\/00004623-196345020-00004"},{"key":"2021121011014297100_R20","doi-asserted-by":"crossref","unstructured":"Cooper DM, Dietz FR. Treatment of idiopathic clubfoot. A thirty-year follow-up. J Bone Joint Surg Am.1995;77:1477\u20131489","DOI":"10.2106\/00004623-199510000-00002"},{"key":"2021121011014297100_R21","unstructured":"Morcuende JA, Egbert M, Ponseti IV. The effect of the Internet in the treatment of congenital idiopathic clubfoot. Iowa Orthop J.2003;23:83\u201386"},{"key":"2021121011014297100_R22","doi-asserted-by":"crossref","unstructured":"Grayev AM, Boal DK, Wallach DM, Segal LS. Metaphyseal fractures mimicking abuse during treatment for clubfoot. Pediatr Radiol.2001;31:559\u2013563","DOI":"10.1007\/s002470100497"},{"key":"2021121011014297100_R23","doi-asserted-by":"crossref","unstructured":"Herzenberg JE, Radler C, Bor N. Ponseti versus traditional methods of casting for idiopathic clubfoot. J Pediatr Orthop.2002;22:517\u2013521","DOI":"10.1097\/01241398-200207000-00019"},{"key":"2021121011014297100_R24","unstructured":"Pirani S. The Ponseti method and results in developing nations. Presented at the Symposium on Conservative Methods on the Treatment of Clubfeet. SICOT. August 30, 2002; San Diego, CA"},{"key":"2021121011014297100_R25","unstructured":"Penny JN, Steenbeeck M. Community based rehabilitation (CBR) in the management of clubfoot deformity in Africa. Third International Clubfoot Congress, August 27\u201328, 2002; San Diego, CA"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/113\/2\/376\/1011628\/zpe00204000376.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/113\/2\/376\/1011628\/zpe00204000376.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T23:56:40Z","timestamp":1639180600000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/113\/2\/376\/66875\/Radical-Reduction-in-the-Rate-of-Extensive"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,2,1]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2004,2,1]]},"published-print":{"date-parts":[[2004,2,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.113.2.376","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,2,1]]}}}