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. 2020 Jul 31;1(8):457-464.
doi: 10.1302/2633-1462.18.BJO-2020-0109.R1. eCollection 2020 Aug.

A systematic review of reported outcomes following Ponseti correction of idiopathic club foot

Yael Gelfer  1   2   3 , Katie Patterson Hughes  4 , Andreas Fontalis  3 , Shlomo Wientroub  5   6 , Deborah M Eastwood  7   8
Affiliations

A systematic review of reported outcomes following Ponseti correction of idiopathic club foot

Yael Gelfer et al. Bone Jt Open. .

Abstract

Aims: To analyze outcomes reported in studies of Ponseti correction of idiopathic clubfoot.

Methods: A systematic review of the literature was performed to identify a list of outcomes and outcome tools reported in the literature. A total of 865 studies were screened following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and 124 trials were included in the analysis. Data extraction was completed by two researchers for each trial. Each outcome tool was assigned to one of the five core areas defined by the Outcome Measures Recommended for use in Randomized Clinical Trials (OMERACT). Bias assessment was not deemed necessary for the purpose of this paper.

Results: In total, 20 isolated outcomes and 16 outcome tools were identified representing five OMERACT domains. Most outcome tools were appropriately designed for children of walking age but have not been embraced in the literature. The most commonly reported isolated outcomes are subjective and qualitative. The quantitative outcomes most commonly used are ankle range of motion (ROM), foot position in standing, and muscle function.

Conclusions: There is a diverse range of outcomes reported in studies of Ponseti correction of clubfoot. Until outcomes can be reported unequivocally and consistently, research in this area will be limited. Completing the process of establishing and validating COS is the much-needed next step.Cite this article: Bone Joint Open 2020;1-8:457-464.

Keywords: Ponseti; clubfoot; outcomes.

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Figures

Fig. 1
Fig. 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart for study selection.
See this image and copyright information in PMC

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