title: The Ponseti technique and improved ankle dorsiflexion in children with relapsed clubfoot: a retrospective data analysis.
abstract: This study quantifies the change in passive ankle range of motion following modified Ponseti casting in children with relapsed idiopathic clubfoot. Fifty-three cases (feet) were retrospectively reviewed, with 6-month follow-up data available for 72% of participants. The median improvement in dorsiflexion was 15° (95% confidence interval: 12.5°-17.5°, P≤0.05), with 85% achieving dorsiflexion≥10°. At the 6-month follow-up, dorsiflexion remained significantly improved and 12 feet (32%) presented with subsequent relapse. Nine were referred for further casting and three were recommended for extra-articular surgery. Repeat modified Ponseti management clinically and statistically improves passive ankle dorsiflexion in relapsed idiopathic clubfoot.
authors.affiliation: aDepartment of Health Professions, Macquarie University bThe Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors.forename: Erika
authors.initials: E
authors.lastname: Marquez
authors.forename: Verity
authors.initials: V
authors.lastname: Pacey
authors.forename: Alison
authors.initials: A
authors.lastname: Chivers
authors.forename: Paul
authors.initials: P
authors.lastname: Gibbons
authors.forename: Kelly
authors.initials: K
authors.lastname: Gray
mesh_terms: D000842:Ankle / Q000502:physiology* / Q000601:surgery; D000843:Ankle Joint / Q000601:surgery*; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D016059:Range of Motion, Articular; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome