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  1. Home
  3. Effectiveness Of The Ponseti Method In Treating Neurogenic Clubfoot: A Systematic Review And Meta-analysis.
  1. Home
  3. Effectiveness Of The Ponseti Method In Treating Neurogenic Clubfoot: A Systematic Review And Meta-analysis.

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Effectiveness of the ponseti method in treating neurogenic clubfoot: a systematic review and meta-analysis.

Xiangyang Shan1, Jiale Fu1, Weiming Hu1

  • 1Department of Orthopedics, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.

Journal of Orthopaedic Surgery and Research
|November 22, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

The Ponseti method effectively corrects neurogenic clubfoot initially in 90% of cases. However, a high 52% recurrence rate necessitates ongoing monitoring and intervention for sustained outcomes in pediatric patients.

Keywords:
ClubfootMeta-analysisNeurogenicPonseti methodSystematic review

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Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Rehabilitation Medicine

Background:

  • Neurogenic clubfoot presents challenges due to deformity rigidity and high relapse rates.
  • The efficacy and safety of the Ponseti method in this specific pediatric population require thorough evaluation.
  • Existing literature presents uncertainties regarding long-term outcomes of the Ponseti method for neurogenic clubfoot.

Purpose of the Study:

  • To systematically review and meta-analyze the outcomes of the Ponseti method in pediatric neurogenic clubfoot.
  • To evaluate the efficacy and safety of Ponseti treatment for neurogenic clubfoot.
  • To synthesize current evidence on Ponseti method success rates and complications in children.

Main Methods:

  • A systematic review and meta-analysis adhering to PRISMA 2020 guidelines.
  • Searched major databases (PubMed, Embase, Cochrane, Web of Science, Scopus) through May 2025.
  • Included studies reporting Ponseti outcomes in pediatric neurogenic clubfoot, assessed quality using Newcastle-Ottawa Scale, and performed random-effects meta-analyses using R software.

Main Results:

  • Analyzed 13 studies with 214 patients (336 feet); mean follow-up of 3.6 years.
  • Achieved initial correction in 90% of cases, with long-term success at 77%.
  • Reported a 52% recurrence rate, 28% complication rate, and 87% required Achilles tenotomy; myelomeningocele subgroup showed 87% success with high homogeneity.

Conclusions:

  • The Ponseti method is effective for initial neurogenic clubfoot correction (approx. 90%).
  • High recurrence rates (52%) underscore the need for structured long-term surveillance and early intervention.
  • Vigilant monitoring for cutaneous complications is crucial due to sensory impairments; Ponseti remains the preferred initial treatment.