Evaluation of the functional outcome measures of recurrent clubfeet after posteromedial or posterior release treated using the Ponseti method: a preliminary study

作者：Ding J, Dai ZZ, Zhao L, Wu ZK · 发表于：BMC musculoskeletal disorders · 年份：2025 · DOI：10.1186/s12891-025-09408-y · 被引用次数：47 · 研究领域：Clubfoot、Casts, Surgical、Orthopedic Procedures、Humans、Retrospective Studies、Female、Male、Treatment Outcome、Recurrence、Tenotomy、Infant、Achilles Tendon

BACKGROUND AND AIM: The Ponsetimethod has been popularized for treating recurrent idiopathic clubfoot and, more recently, recurrent clubfoot following posteromedial (PMR) or posterior (PR) release. A retrospective study was performed to determine the functional outcome in Ponseti treatment of recurrent idiopathic clubfoot after PMR or PR. The study also aimed to determine whether clinical scoring systems (Pirani and Dimeglio scores) could be predictive for the initial numbers of casts, Achilles tenotomy, ankle dorsiflexion after initial treatment, relapse, and functional outcomes following the Ponseti method of treatment. METHODS: This was a retrospective study of 17 consecutive patients (27 feet) treated with the Ponseti method for recurrent clubfoot after PMR or PR. Clinical charts were reviewed for sex, laterality, age at initial visit to our institution, age at the first surgery, initial number of casts, undergoing a percutaneous Achilles tenotomy (PAT) or not, clinical presentation, Pirani and Dimeglio scores, range of motion of ankle dorsiflexion after initial treatment, the International Clubfoot Study Group (ICFSG) rating system, and recurrences following the Ponseti method of treatment. We conducted descriptive statistical analyses between patients who rated as excellent, or good and fair in the ICFSG rating system following the Ponseti method of treatment. Outcome and demographic data were analyzed using an independent student’s t-test for means and Fisher exact tes...