Cochrane · systematic review · CD008602

Interventions for congenital talipes equinovarus (clubfoot)

Bina, S, Pacey, V, Barnes, EH, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Neuromuscular3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
25
current version
GRADE rated
5
No studies
17
Included studies
NR
No studies 17 · 68%Ungraded 3 · 12%Very low 1 · 4%Low 4 · 16%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Treatment of initial congenital talipes equinovarus (CTEV; clubfoot)

Population: participants with CTEV at initial presentation
5 questions
OutcomeEffectEvidenceStatus / GRADE
Function
no estimate extracted2 studies · 2 participantsUngraded
Foot alignmentPirani score. Scale from: 0 to 6. A lower score indicates better alignment
no estimate extracted1 study · 38 participantsLow
Downgraded: risk of bias, imprecision
Gait assessment
no estimate extractedNRNo studies
Health‐related quality of life
no estimate extracted2 studies · 2 participantsUngraded
Adverse events
no estimate extracted1 study · 25 participantsLow
Downgraded: risk of bias, imprecision

Treatment for resistant congenital talipes equinovarus (CTEV; clubfoot)

Population: participants with resistant CTEV
5 questions
OutcomeEffectEvidenceStatus / GRADE
Function
no estimate extractedNRNo studies
Foot alignment
no estimate extracted3 studies · 4 participantsUngraded
Gait assessment
no estimate extractedNRNo studies
Health‐related quality of life
no estimate extractedNRNo studies
Adverse events
no estimate extracted1 study · 4 participantsVery low
Downgraded: risk of bias

Treatment of relapsed/recurrent congenital talipes equinovarus (CTEV; clubfoot)

Population: participants with relapsed or recurrent CTEV
5 questions
OutcomeEffectEvidenceStatus / GRADE
Function
no estimate extractedNRNo studies
Foot alignment
no estimate extractedNRNo studies
Gait assessment
no estimate extractedNRNo studies
Health‐related quality of life
no estimate extractedNRNo studies
Adverse events
no estimate extractedNRNo studies

Treatment for neglected congenital talipes equinovarus (CTEV; clubfoot)

Population: participants with neglected CTEV
5 questions
OutcomeEffectEvidenceStatus / GRADE
Function
no estimate extractedNRNo studies
Foot alignment
no estimate extractedNRNo studies
Gait assessment
no estimate extractedNRNo studies
Health‐related quality of life
no estimate extractedNRNo studies
Adverse events
no estimate extractedNRNo studies

Treatment of other congenital talipes equinovarus (CTEV; clubfoot) (timing not stated)

Population: participants with CTEV (type of case (i.e. whether initial presentation or relapsed) not specified)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Function ‐
no estimate extractedNRNo studies
Foot alignment Pirani score. A lower score indicates better alignment. Scale from: 0 to 6.
no estimate extracted1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Gait assessment
no estimate extractedNRNo studies
Health‐related quality of life
no estimate extractedNRNo studies
Adverse events
no estimate extracted1 study · 5 participantsLow
Downgraded: risk of bias, imprecision