Does Strict Adherence to the Ponseti Method Improve Isolated Clubfoot Treatment Outcomes? A Two-institution Review.

ABSTRACT:

Background

Despite being recognized as the gold standard in isolated clubfoot treatment, the Ponseti casting method has yielded variable results. Few studies have directly compared common predictors of treatment failure between institutions with high versus low failure rates.

Questions/purposes

We asked: (1) is the provider's rigid adherence to the Ponseti method associated with a lower likelihood of unplanned clubfoot surgery, and (2) at the institution that did not adhere rigidly to Ponseti's principles, are any demographic or treatment-related factors associated with increased likelihood of unplanned clubfoot surgery?

Methods

After institutional review board approval, a consecutive series of patients with a diagnosis of isolated clubfoot who underwent treatment bet

SUBMITTER: Miller NH 

PROVIDER: S-EPMC4686485 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature