{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:08Z","timestamp":1787755448558,"version":"build-2784847793"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2018,5,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Developed at the University of Iowa in 1950, the Ponseti method to manage idiopathic clubfoot deformity was slow to gain wide acceptance until the mid-1990s. There is a paucity of intermediate and long-term outcome studies involving this technique, with nearly all such studies coming from a single institution. The purpose of this study is to report the contemporary outcome of patients with clubfoot deformity whose feet were managed with the Ponseti method and who were followed to \u22655 years old, to provide outcome expectations for parents and for clinicians managing patients with idiopathic clubfoot.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Families of infants seen in our clinic diagnosed with idiopathic clubfoot since July 2006 were prospectively invited to participate in our institutional review board-approved study. Patients who received no prior outside treatment and had a minimum follow-up to the age of 5 years were included. Demographic, treatment, and outcome data were collected. To provide an array of outcome measures, both the Dallas outcome criteria and the Roye disease-specific instrument (DSI) were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred and one patients met the inclusion criteria. The mean length of follow-up (and standard deviation) was 81.1 \u00b1 17.1 months. Initial correction was achieved in all feet. Thirty-seven percent of families reported that they were adherent with the bracing protocol; 68% of patients had \u22651 relapse, and 38% underwent a tendon transfer. With the Dallas criteria, 62% had outcomes rated as good, 38% had outcomes rated as fair, and no patient had an outcome rated as poor. With the Roye DSI, most families were generally very satisfied with the function and appearance of the feet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Satisfactory results at intermediate follow-up were achieved using the Ponseti method. However, despite a better understanding of the Ponseti method and the importance of longer post-corrective brace use, the need for anterior tibial tendon transfer remains an important adjunct to the Ponseti method. Brace adherence also continues to be a critical clinical issue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.01024","type":"journal-article","created":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T15:28:43Z","timestamp":1525274923000},"page":"721-728","source":"Crossref","is-referenced-by-count":47,"title":["Sixty Years On: Ponseti Method for Clubfoot Treatment Produces High Satisfaction Despite Inherent Tendency to Relapse"],"prefix":"10.2106","volume":"100","author":[{"given":"Lewis E.","family":"Zionts","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine at UCLA, Los Angeles, California"},{"name":"The J. Vernon Luck, Sr., M.D. Orthopaedic Research Center, Orthopaedic Institute for Children, in alliance with the University of California, Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5282-8465","authenticated-orcid":false,"given":"Edward","family":"Ebramzadeh","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA, Los Angeles, California"},{"name":"The J. Vernon Luck, Sr., M.D. Orthopaedic Research Center, Orthopaedic Institute for Children, in alliance with the University of California, Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca D.","family":"Morgan","sequence":"additional","affiliation":[{"name":"The J. Vernon Luck, Sr., M.D. Orthopaedic Research Center, Orthopaedic Institute for Children, in alliance with the University of California, Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia N.","family":"Sangiorgio","sequence":"additional","affiliation":[{"name":"The J. Vernon Luck, Sr., M.D. Orthopaedic Research Center, Orthopaedic Institute for Children, in alliance with the University of California, Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"5","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1007\/s11999-009-0720-2","article-title":"The classic: congenital club foot: the results of treatment. 1963","volume":"467","author":"Ponseti","year":"2009","journal-title":"Clin Orthop Relat Res."},{"key":"bib2-20230811","first-page":"83","article-title":"The effect of the Internet in the treatment of congenital idiopathic clubfoot","volume":"23","author":"Morcuende","year":"2003","journal-title":"Iowa Orthop J."},{"issue":"5","key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/BPO.0b013e318259ff79","article-title":"The current management of idiopathic clubfoot revisited: results of a survey of the POSNA membership","volume":"32","author":"Zionts","year":"2012","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib4-20230811","doi-asserted-by":"crossref","first-page":"882","DOI":"10.2106\/JBJS.I.00819","article-title":"Has the rate of extensive surgery to treat idiopathic clubfoot declined in the United States?","volume":"92","author":"Zionts","year":"2010","journal-title":"J Bone Joint Surg Am."},{"issue":"10","key":"bib5-20230811","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.2106\/00004623-199510000-00002","article-title":"Treatment of idiopathic clubfoot. 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