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The Ponseti method in children with clubfoot after walking age – Systematic review and metanalysis of observational studies

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  • Gabriel Ferraz Ferreira
  • Kelly Cristina Stéfani
  • Davi de Podestá Haje
  • Monica Paschoal Nogueira

Abstract

Background: The prevalence of untreated congenital clubfoot among children older than walking age is higher in developing countries due to limited resources for early care after birth. The Ponseti method represents an intervention option for older, untreated children. Methods: A metanalysis was conducted of observational studies selected through a systematic review of articles included in electronic databases (Medline, Scopus, Embase, Lilacs, and the Cochrane Library) until June 2017. A pooling analysis of proportions with 95% confidence intervals (CIs) and a publication bias assessment were performed as routine. Estimates of success, recurrence, and complication rates were weighted and pooled using the random effects model. Results: Twelve studies, including 654 feet diagnosed with congenital clubfoot in children older than walking age (older than 1 year old), were included for analysis. The rate of satisfactory outcomes found via a cluster metanalysis of proportions using the random effects model was 89% (95% CI = 0.82–0.94, p

Suggested Citation

  • Gabriel Ferraz Ferreira & Kelly Cristina Stéfani & Davi de Podestá Haje & Monica Paschoal Nogueira, 2018. "The Ponseti method in children with clubfoot after walking age – Systematic review and metanalysis of observational studies," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0207153
    DOI: 10.1371/journal.pone.0207153
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