{Reference Type}: Journal Article
{Title}: Effectiveness of the Ponseti method for congenital clubfoot in patients with arthrogryposis: A systematic review and meta-analysis of observational studies.
{Author}: Bravin AC;Ferraz Ferreira G;Nogueira MP;
{Journal}: J Child Orthop
{Volume}: 18
{Issue}: 1
{Year}: 2024 Feb
{Factor}: 1.917
{DOI}: 10.1177/18632521231214778
{Abstract}: <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.