Influence of cast change interval in the ponseti method: A systematic review

R.B. Giesberts* (Corresponding Author), M.C. van der Steen, P.G.M. Maathuis, A.T. Besselaar, E.E.G. Hekman, G.J. Verkerke

*Corresponding author for this work

    Research output: Contribution to journalReview articleAcademicpeer-review

    5 Citations (Scopus)
    15 Downloads (Pure)

    Abstract

    Background: Clubfeet are commonly treated using the Ponseti method. This method involves weekly manipulation and casting which gradually corrects the position of the foot. However, the reasons for following a weekly interval are not clear.

    Question/Purpose: The aim is to investigate the influence of the cast change interval on treatment outcomes in the Ponseti method.

    Methods: We performed a systematic review of comparative studies in which the cast change interval was varied. Scientific databases were searched for relevant publications, screened for eligibility and assessed for a risk of bias. A’best evidence’ synthesis tool was used to synthesize the results of the included studies and draw conclusions from relevant clinical outcomes. Results Nine papers matched the inclusion criteria, which provided data of 587 subjects who had a total of 870 clubfeet. There is strong evidence for a positive relation between cast change interval and treatment duration. However, there is no evidence for any relation between the cast change interval and the required number of casts, tenotomy rate, required surgery or failure rate.

    Conclusions: Accelerated versions are as effective and safe as the traditional Ponseti method. However, more research is needed to assess the long-term results and to identify an optimal cast change interval.

    Original languageEnglish
    Article numbere0199540
    JournalPLoS ONE
    Volume13
    Issue number6
    DOIs
    Publication statusPublished - 22 Jun 2018

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    systematic review
    Surgery
    Casting
    Clubfoot
    Tenotomy
    methodology
    Publications
    Foot
    surgery
    Databases
    synthesis
    duration
    Research

    Cite this

    Giesberts, R.B. ; van der Steen, M.C. ; Maathuis, P.G.M. ; Besselaar, A.T. ; Hekman, E.E.G. ; Verkerke, G.J. / Influence of cast change interval in the ponseti method : A systematic review. In: PLoS ONE. 2018 ; Vol. 13, No. 6.
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    title = "Influence of cast change interval in the ponseti method: A systematic review",
    abstract = "Background: Clubfeet are commonly treated using the Ponseti method. This method involves weekly manipulation and casting which gradually corrects the position of the foot. However, the reasons for following a weekly interval are not clear. Question/Purpose: The aim is to investigate the influence of the cast change interval on treatment outcomes in the Ponseti method.Methods: We performed a systematic review of comparative studies in which the cast change interval was varied. Scientific databases were searched for relevant publications, screened for eligibility and assessed for a risk of bias. A’best evidence’ synthesis tool was used to synthesize the results of the included studies and draw conclusions from relevant clinical outcomes. Results Nine papers matched the inclusion criteria, which provided data of 587 subjects who had a total of 870 clubfeet. There is strong evidence for a positive relation between cast change interval and treatment duration. However, there is no evidence for any relation between the cast change interval and the required number of casts, tenotomy rate, required surgery or failure rate.Conclusions: Accelerated versions are as effective and safe as the traditional Ponseti method. However, more research is needed to assess the long-term results and to identify an optimal cast change interval.",
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    Influence of cast change interval in the ponseti method : A systematic review. / Giesberts, R.B. (Corresponding Author); van der Steen, M.C.; Maathuis, P.G.M.; Besselaar, A.T.; Hekman, E.E.G.; Verkerke, G.J.

    In: PLoS ONE, Vol. 13, No. 6, e0199540, 22.06.2018.

    Research output: Contribution to journalReview articleAcademicpeer-review

    TY - JOUR

    T1 - Influence of cast change interval in the ponseti method

    T2 - A systematic review

    AU - Giesberts, R.B.

    AU - van der Steen, M.C.

    AU - Maathuis, P.G.M.

    AU - Besselaar, A.T.

    AU - Hekman, E.E.G.

    AU - Verkerke, G.J.

    PY - 2018/6/22

    Y1 - 2018/6/22

    N2 - Background: Clubfeet are commonly treated using the Ponseti method. This method involves weekly manipulation and casting which gradually corrects the position of the foot. However, the reasons for following a weekly interval are not clear. Question/Purpose: The aim is to investigate the influence of the cast change interval on treatment outcomes in the Ponseti method.Methods: We performed a systematic review of comparative studies in which the cast change interval was varied. Scientific databases were searched for relevant publications, screened for eligibility and assessed for a risk of bias. A’best evidence’ synthesis tool was used to synthesize the results of the included studies and draw conclusions from relevant clinical outcomes. Results Nine papers matched the inclusion criteria, which provided data of 587 subjects who had a total of 870 clubfeet. There is strong evidence for a positive relation between cast change interval and treatment duration. However, there is no evidence for any relation between the cast change interval and the required number of casts, tenotomy rate, required surgery or failure rate.Conclusions: Accelerated versions are as effective and safe as the traditional Ponseti method. However, more research is needed to assess the long-term results and to identify an optimal cast change interval.

    AB - Background: Clubfeet are commonly treated using the Ponseti method. This method involves weekly manipulation and casting which gradually corrects the position of the foot. However, the reasons for following a weekly interval are not clear. Question/Purpose: The aim is to investigate the influence of the cast change interval on treatment outcomes in the Ponseti method.Methods: We performed a systematic review of comparative studies in which the cast change interval was varied. Scientific databases were searched for relevant publications, screened for eligibility and assessed for a risk of bias. A’best evidence’ synthesis tool was used to synthesize the results of the included studies and draw conclusions from relevant clinical outcomes. Results Nine papers matched the inclusion criteria, which provided data of 587 subjects who had a total of 870 clubfeet. There is strong evidence for a positive relation between cast change interval and treatment duration. However, there is no evidence for any relation between the cast change interval and the required number of casts, tenotomy rate, required surgery or failure rate.Conclusions: Accelerated versions are as effective and safe as the traditional Ponseti method. However, more research is needed to assess the long-term results and to identify an optimal cast change interval.

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