%0 Journal Article
%T Effectiveness of the Ponseti method for congenital clubfoot in patients with arthrogryposis: A systematic review and meta-analysis of observational studies.
%A Bravin AC
%A Ferraz Ferreira G
%A Nogueira MP
%J J Child Orthop
%V 18
%N 1
%D 2024 Feb
%M 38348434
%F 1.917
%R 10.1177/18632521231214778
%X <B>UNASSIGNED: </B>The aim of this systematic review was to address the Ponseti method in arthrogrypotic clubfoot treatment and evaluate the success, complication, and recurrence rates.<BR><B>UNASSIGNED: </B>A systematic review was performed in the PubMed, Scopus, Embase, and Web of Science databases on 9 January 2023, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Success, recurrence, and complication rates were evaluated and analyzed. Risks of bias and the quality of the studies were also evaluated.<BR><B>UNASSIGNED: </B>Five case series, including 53 patients (102 feet), were identified. According to this model, the initial success rate was 91% (95% confidence interval = 0.79-0.96) with I2 = 43%, and the final success was 68% (at 5.8 years of follow-up). Recurrence rate was 30% (95% confidence interval = 0.14-0.52).<BR><B>UNASSIGNED: </B>Ponseti method is indicated in the initial treatment of arthrogrypotic clubfeet, as it is a minimally invasive method with a high correction rate (91%). However, a high recurrence rate (30%) requires early detection and adequate treatment.<BR><B>UNASSIGNED: </B>Level III.<BR><B>UNASSIGNED: </B>CRD42020210373.