Retrospective Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2016; 4(10): 318-322
Published online Oct 16, 2016. doi: 10.12998/wjcc.v4.i10.318
Factors associated with recurrence of clubfoot treated by the Ponseti method
Mohammad Reza Azarpira, Mohammad Jafar Emami, Amir Reza Vosoughi, Keivan Rahbari
Mohammad Reza Azarpira, Mohammad Jafar Emami, Amir Reza Vosoughi, Keivan Rahbari, Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz 71948-15644, Iran
Author contributions: Azarpira MR, Emami MJ designed, guided the research and interpreted the data; Vosoughi AR, Rahbari K collected data and contributed to the analysis; all authors participated in drafting the article and they critically reviewed the manuscript and approved the final manuscript as submitted.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Shiraz University of Medical Sciences and Institutional Review Board of Bone and Joint Diseases Research Center, Shiraz Iran.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used clinical data obtained from their files after follow-up visits of the patients who had been agreed to treatment previously by written consent.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Amir Reza Vosoughi, MD, Assistant Professor of Orthopedic Surgery, Foot and Ankle Surgeon, Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz 71948-15644, Iran. vosoughiar@hotmail.com
Telephone: +98-713-6234504 Fax: +98-713-6246093
Received: March 12, 2016
Peer-review started: March 14, 2016
First decision: May 19, 2016
Revised: June 26, 2016
Accepted: August 6, 2016
Article in press: August 8, 2016
Published online: October 16, 2016
Processing time: 216 Days and 9.8 Hours
Core Tip

Core tip: This is a retrospective study to determine factors responsible for the unsuccessful treatment of clubfoot using the Ponseti method. Recurrence of each or all major components of clubfoot deformity was seen in 39 feet among 196 feet during follow-up range of 11 to 60 mo. Recurrence was higher in patients with non-idiopathic clubfoot, non-compliance to wear braces, low maternal educational level, increased number of casts needed to correct the deformity and more follow-up periods.