Ponseti method compared with soft-tissue release for the management of clubfoot: A meta-analysis study

Table 1 Comparison of Laaveg-Ponseti score between patients treated with the Ponseti method and surgically managed patients

Studies	Level of evidence	Mean follow-up (yr)	Time period of procedure	Patients (n)	Feet (n)	Laaveg-Ponseti score mean (95%CI)	Excellent/good Laaveg-Ponseti rating rate (95%CI)
All Treatments				500	810	86.2 (84.2-88.2)	0.73 (0.67-0.78)
Ponseti method				147	224	86.3 (84.2-88.3)	0.76 (0.69-0.81)
Ippolito et al[1]	III	19	1979-1984	32	49	85.4 (83.9-86.9)	0.78 (0.64-0.87)
Laaveg et al[5]	III	18.8	1950-1967	70	104	87.5 (85.3-89.7)	0.74 (0.65-0.82)
Cooper et al[6]	IV	34	1950-1967	45	71	-	0.78 (0.63-0.88)
Soft-tissue release				353	586	82.0 (69.5-94.5)	0.62 (0.48-0.74)
Ippolito et al[1]	III	25	1973-1977	32	47	74.7 (71.4-78.0)	0.43 (0.29-0.57)
Dobbs et al[3]	III	31	1972-1979	45	73	65.3 (62.9-67.7)	0.33 (0.23-0.44)
Fridman et al[10]	IV	6.4	1986-2003	50	71	86.9 (84.1-89.6)	0.80 (0.69-0.88)
Schuh e et al[11]	IV	4.5	1986-2000	86	130	95.6 (94.0-97.2)	-
Singh et al[12]	IV	13.8	1980-1996	18	33	-	0.82 (0.65-0.92)
Prasad et al[13]	IV	-	-	30	50	-	0.58 (0.44-0.71)
Munshi et al[14]	III	3.5	-	-	50	87.3 (83.1-91.5)	0.78 (0.65-0.87)
Herbsthofer et al[15]	IV	6.7	1984-1994	38	62	-	0.47 (0.35-0.59)
Abulsaad et al[16]	IV	3.9	2000-2004	54	70	-	0.69 (0.57-0.78)
Difference between treatments						Q = 0.45, P = 0.50	Q = 3.73, P = 0.053