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

Table 3 Comparison of talus-1^st metatarsal, 1^st-5^th metatarsal, and calcaneus-5^th metatarsal angles between patients treated with the Ponseti method and surgically managed patients

Studies	Patients	Feet	Talus-1st metatarsal		1st-5th metatarsal
			APmean (95%CI)	Lateralmean (95%CI)	Lateralmean (95%CI)	APmean (95%CI)
All treatments	516	655	1.27 (-0.23-2.77)	6.24 (5.00-7.48)	15.6 (16.7-17.9)	-5.11 (-6.83 - -3.40)
Ponseti method	147	224	0.96 (-0.59-2.51)	5.51 (4.20-6.82)	15.4 (14.7-16.1)	-6.49 (-8.33 - -4.65)
Ippolito et al[1]	32	49	0.94 (-1.01-2.89)	6.39 (4.40-8.38)	15.5 (14.2-16.7)	-6.8 (-9.20 - -4.40)
Laaveg et al[5]	70	104	-	-	14.7 (13.5-15.9)	-4.9 (-6.92 - -2.88)
Cooper et al[6]	45	71	1 (-1.56-3.56)	5 (3.60-6.40)	16 (14.8-17.2)	-8 (-10.33 - -5.67)
Soft-tissue release	283	431	6.04 (-0.06-12.13)	12.08 (8.38-15.79)	25.2 (19.3-31.0)	3.86 (-0.84 - 8.57)
Ippolito et al[1]	32	47	8.28 (5.97-10.59)	9.4 (6.69-12.11)	22.1 (20.3-23.9)	-0.62 (-3.04 - 1.80)
Dobbs et al[3]	45	73	15.95 (13.24-18.66)	7.68 (4.06-11.30)	18.1 (15.4-20.8)	10.32 (8.55 - 12.09)
Fridman et al[10]	50	71	3.97 (1.27-6.67)	-	-	1.32 (-0.70 - 3.34)
Singh et al[12]	18	33	11.9 (9.89-13.91)	15.7 (13.14-18.26)	28.2 (25.9-30.5)	-
Prasad et al[13]	30	50	6.92 (2.49-11.35)	18.54 (11.90-25.18)	46.2 (38.7-53.7)	5.8 (2.22 - 9.38)
Herbsthofer et al[15]	38	62	10.29 (7.68-12.90)	-	-	9.95 (7.90 - 12.00)
Abulsaad et al[16]	54	70	-5.43 (-6.85-4.02)	-	-	-
Docquier et al[17]	16	25	-3.5 (-6.52-0.48)	10.9 (6.43-15.37)	15.9 (12.7-19.1)	-3.9 (-7.04 - -0.76)
Difference between treatment			Q = 2.50, P = 0.11	Q = 10.74, P = 0.001	Q = 10.48, P = 0.001	Q = 16.12, P < 0.001