IDIOPATHIC CLUBFOOT: COMPARISON OF DIFFERENT CONSERVATIVE TREATMENTS, PONSETI’S VERSUS NON – PONSETI’S METHODS

Abstract

The clinical treatment of club foot uses various approaches. This meta-analysis was done to evaluate the
efficacy of various conservative treatments. Various studies were collected and odd’s ratio (ORs) with the
corresponding confidence intervals were calculated for the evaluating the results, relapses and requirement for
major surgery. A meta-analysis of 1400 cases from 9 relevant studies were performed. The combined odd’s ratio
suggested that significantly more fair and poor results were achieved and major surgery was required more often
when using non Ponsetti’s methods where the odd’s ratio was 3.12 and 7.26 respectively, but there was not any
considerable difference detected in the occurrence of relapse, where the odd’s ratio being 1.25.