{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T21:25:33Z","timestamp":1760217933812},"reference-count":8,"publisher":"SLACK, Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:p>abstract<\/jats:p>\n          <jats:p>The correction of cavus deformity requires further supination of the forefoot. In the Ponseti method, the initial cast is applied with the forefoot supinated such that the plane of the metatarsal heads is parallel to the long axis of the tibia. This study reviewed Pirani scores of 27 patients with 38 clubfeet treated over an 18-month period by the Ponseti method to evaluate changes in midfoot deformity after the initial cast. Initial average scores for severity of the lateral border deformity, medial crease, and talonavicular joint reducibility decreased from 0.92, 0.75, and 0.75, respectively, to 0.73, 0.25, and 0.5, respectively, after the first cast. The improvement in Pirani scores provides support for the efficacy of the initial cast to reduce the cavus and also increase the reducibility of the midfoot. Failure to address the cavus deformity with the initial cast as described by Ponseti may lead to persistent rigidity and incomplete correction.<\/jats:p>","DOI":"10.3928\/0147-7447-20050101-16","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T17:25:46Z","timestamp":1576603546000},"page":"63-65","source":"Crossref","is-referenced-by-count":8,"title":["The Ponseti Method of Treatment for Congenital Clubfoot: Importance of Maximal Forefoot Supination in Initial Casting"],"prefix":"10.3928","volume":"28","author":[{"given":"Steven L","family":"Frick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"crossref","unstructured":"1. Cooper DM Dietz FR. Treatment of idiopathic clubfoot. A 30-year follow-up note. J Bone Joint Surg Am. 1995; 77: 1477-1489.","DOI":"10.2106\/00004623-199510000-00002"},{"key":"e_1_3_1_3_1","doi-asserted-by":"crossref","unstructured":"2. Herzenberg JE Radler C Bor N. Ponseti versus traditional methods of casting for idiopathic clubfoot. J Pediatr Orthop. 2002: 22:517-521.","DOI":"10.1097\/01241398-200207000-00019"},{"key":"e_1_3_1_4_1","unstructured":"3. Ponseti IV. Congenital Clubfoot. Oxford England: Oxford University Publishing; 1996."},{"key":"e_1_3_1_5_1","doi-asserted-by":"crossref","unstructured":"4. Morcuende JA Weinslein SL Dietz FR Ponseti IV. Plaster cast treatment of clubfoot: the Ponseti method of manipulation and casting. J Pediatr Orthop B. 1994;3:161-167.","DOI":"10.1097\/01202412-199403020-00007"},{"key":"e_1_3_1_6_1","doi-asserted-by":"crossref","unstructured":"5. Ponseti IV. Common errors in the treatment of congenital clubfoot. Int Orthop. 1997: 21:137-141.","DOI":"10.1007\/s002640050137"},{"key":"e_1_3_1_7_1","doi-asserted-by":"crossref","unstructured":"6. Cummings RJ. Davidson RS Armstrong PF Lehman WB. Congenital Clubfoot. J Bone Joint Surg Am. 2002; 84:290-308.","DOI":"10.2106\/00004623-200202000-00018"},{"key":"e_1_3_1_8_1","doi-asserted-by":"crossref","unstructured":"7. Flynn JM Donohoe M Mackenzie WG. An independent assessment of two clubfootclassification systems. J Pediatr Orthop. 1998; 18:323-327.","DOI":"10.1097\/00004694-199805000-00010"},{"key":"e_1_3_1_9_1","doi-asserted-by":"crossref","unstructured":"8. Ponseti IV Campos J. Observations on pathogenesis and treatment of congenital clubfoot. Clin Orthop. 1972; 84:50-60.","DOI":"10.1097\/00003086-197205000-00011"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T11:04:28Z","timestamp":1683111868000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/0147-7447-20050101-16"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,1]]}},"alternative-id":["10.3928\/0147-7447-20050101-16"],"URL":"https:\/\/doi.org\/10.3928\/0147-7447-20050101-16","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,1]]}}}