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

Table 2 Comparison of anteroposterior talocalcaneal angle, lateral talocalcaneal angle, and talocalcaneal index between patients treated with the Ponseti method and surgically managed patients

Studies	Patients	Feet	Talocalcaneal
			AP mean (95%CI)	Lateral mean (95%CI)	Index mean (95%CI)
All treatments	430	655	16.2 (14.9-17.5)	26.9 (23.9-29.9)	46.0 (41.4-50.7)
Ponseti method	147	224	15.8 (14.5-17.2)	29.9 (19.3-40.5)	45.7 (33.4-58.0)
Ippolito et al[1]	32	49	16.1 (14.6-17.6)	38.8 (37.1-40.4)	54.9 (51.7-58.0)
Laaveg et al[5]	70	104	14.5 (12.8-16.2)	20.9 (19.8-22.0)	35.5 (33.5-37.5)
Cooper et al[6]	45	71	17.0 (15.1-18.9)	30.0 (28.4-31.6)	47.0 (43.5-50.5)
Soft-tissue release	283	431	18.9 (15.0-22.8)	26.6 (23.5-29.8)	46.1 (41.0-51.1)
Ippolito et al[1]	32	47	14.1 (12.2-16.0)	33.2 (30.7-35.7)	47.3 (42.9-51.7)
Dobbs et al[3]	45	73	12.8 (11.1-14.4)	23.3 (21.8-24.8)	36.1 (32.9-39.3)
Fridman et al[10]	50	71	20.8 (19.3-22.3)	22.5 (20.9-24.0)	43.3 (40.9-45.6)
Singh et al[12]	18	33	28.4 (27.0-29.8)	30.9 (29.2-32.6)	59.3 (56.2-62.4)
Prasad et al[13]	30	50	18.5 (16.2-20.8)	27.4 (24.6-30.1)	45.8 (43.3-48.4)
Herbsthofer et al[15]	38	62	16.1 (14.6-17.6)	23.0 (21.3-24.7)	39.1 (36.0-42.2)
Abulsaad et al[16]	54	70	16.4 (15.1-17.6)	21.4 (19.9-23.0)	42.2 (39.7-44.7)
Docquier et al[17]	16	25	24.3 (21.5-27.1)	32.2 (29.6-34.8)	56.5 (51.1-61.9)
Difference between treatment			Q = 2.09, P = 0.15	Q = 0.33, P = 0.57	Q = 0.002, P = 0.96