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
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
Current version onlyTreatment of initial congenital talipes equinovarus (CTEV; clubfoot)
Population: participants with CTEV at initial presentation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function | no estimate extracted | 2 studies · 2 participants | Ungraded |
Foot alignmentPirani score. Scale from: 0 to 6. A lower score indicates better alignment | no estimate extracted | 1 study · 38 participants | Low Downgraded: risk of bias, imprecision |
Gait assessment | no estimate extracted | NR | No studies |
Health‐related quality of life | no estimate extracted | 2 studies · 2 participants | Ungraded |
Adverse events | no estimate extracted | 1 study · 25 participants | Low Downgraded: risk of bias, imprecision |
Treatment for resistant congenital talipes equinovarus (CTEV; clubfoot)
Population: participants with resistant CTEV
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function | no estimate extracted | NR | No studies |
Foot alignment | no estimate extracted | 3 studies · 4 participants | Ungraded |
Gait assessment | no estimate extracted | NR | No studies |
Health‐related quality of life | no estimate extracted | NR | No studies |
Adverse events | no estimate extracted | 1 study · 4 participants | Very low Downgraded: risk of bias |
Treatment of relapsed/recurrent congenital talipes equinovarus (CTEV; clubfoot)
Population: participants with relapsed or recurrent CTEV
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function | no estimate extracted | NR | No studies |
Foot alignment | no estimate extracted | NR | No studies |
Gait assessment | no estimate extracted | NR | No studies |
Health‐related quality of life | no estimate extracted | NR | No studies |
Adverse events | no estimate extracted | NR | No studies |
Treatment for neglected congenital talipes equinovarus (CTEV; clubfoot)
Population: participants with neglected CTEV
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function | no estimate extracted | NR | No studies |
Foot alignment | no estimate extracted | NR | No studies |
Gait assessment | no estimate extracted | NR | No studies |
Health‐related quality of life | no estimate extracted | NR | No studies |
Adverse events | no estimate extracted | NR | No 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)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function ‐ | no estimate extracted | NR | No studies |
Foot alignment Pirani score. A lower score indicates better alignment. Scale from: 0 to 6. | no estimate extracted | 1 study · 40 participants | Low Downgraded: risk of bias, imprecision |
Gait assessment | no estimate extracted | NR | No studies |
Health‐related quality of life | no estimate extracted | NR | No studies |
Adverse events | no estimate extracted | 1 study · 5 participants | Low Downgraded: risk of bias, imprecision |
Kite versus Ponseti technique for treatment of initial congenital talipes equinovarus (clubfoot)
Population: patients with CTEV at initial presentation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function ‐ not measured Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Foot alignment Pirani score1. Scale from: 0 to 6. Kite vs Ponseti technique | no estimate extracted | 1 study · 60 participants | Low Downgraded: risk of bias |
Gait assessment ‐ not reported Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Health‐related quality of life ‐ not reported Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Adverse events Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Ponseti versus traditional treatment (plaster casting and surgery) for treatment of initial congenital talipes equinovarus (clubfoot)
Population: patients with CTEV at initial presentation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function PODCI Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Foot alignment Pirani score1. Scale from: 0 to 6. Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Gait assessment ‐ not measured Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Health‐related quality of life PODCI Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Adverse events Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Standard Ponseti technique versus an accelerated Ponseti technique for congenital talipes equinovarus (clubfoot)
Population: patients with CTEV (type of case (e.g. initial presentation or relapsed) not specified)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function ‐ not measured Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |
Foot alignment Pirani score1. Scale from: 0 to 6. Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | 1 study · 40 participants | Moderate |
Gait assessment ‐ not measured Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |
Health‐related quality of life ‐ not measured Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |
Adverse events ‐ not reported Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |
Kite versus Ponseti technique for treatment of initial congenital talipes equinovarus (clubfoot)
Population: patients with CTEV at initial presentation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function ‐ not measured Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Foot alignment Pirani score1. Scale from: 0 to 6. Kite vs Ponseti technique | no estimate extracted | 1 study · 60 participants | Low Downgraded: risk of bias |
Gait assessment ‐ not reported Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Health‐related quality of life ‐ not reported Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Adverse events Kite vs Ponseti technique | no estimate extracted | NR | No studies |
Ponseti versus traditional treatment (plaster casting and surgery) for treatment of initial congenital talipes equinovarus (clubfoot)
Population: patients with CTEV at initial presentation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function PODCI Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Foot alignment Pirani score1. Scale from: 0 to 6. Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Gait assessment ‐ not measured Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Health‐related quality of life PODCI Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Adverse events Ponseti vs traditional treatment (plaster casting and surgery) | no estimate extracted | NR | No studies |
Standard Ponseti technique versus an accelerated Ponseti technique for congenital talipes equinovarus (clubfoot)
Population: patients with CTEV (type of case (e.g. initial presentation or relapsed) not specified)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function ‐ not measured Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |
Foot alignment Pirani score1. Scale from: 0 to 6. Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | 1 study · 40 participants | Moderate |
Gait assessment ‐ not measured Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |
Health‐related quality of life ‐ not measured Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |
Adverse events ‐ not reported Standard Ponseti technique vs an accelerated Ponseti technique | no estimate extracted | NR | No studies |