Skip to main content

Table 4 Outcomes of the Ponseti Method reported in sub-Saharan Africaa

From: Assessment of success of the Ponseti method of clubfoot management in sub-Saharan Africa: a systematic review

Primary Author (Year) Country Process Outcomes
Average number of casts Duration of casts Percutaneous Achilles Tenotomy Receipt of braces Brace compliance Loss to follow up Complications
Ibraheem (2017 Nigeria 5.43 52 days (35–77) 1 child did not have tenotomy, not reported case or control 100% Not reported Nil Reported no complications with swelling
Malagelada (2016) South Africa 8.7 (range 1–24) Not reported 89% (58 children) 100% due to inclusion criteria 2% (1 child) non-compliant Not applicable Defined as relapse and non-compliance: 9 children
Smythe (2016) Zimbabwe 7.27 (6.7–7.9) 10.2 (9.5–10.9) weeks included tenotomy 78.9% (127/161 children) Not reported Not reported 8.9% (17 children) Not reported
Boakye (2016) Ghana 4.93 Not reported 77% Not reported Not reported Excluded from analysis Not reported
Adegbehingbe (2015) Nigeria Not reported Not reported 77% (5626 children) Not reported Not reported Not reported Not reported
Adweole (2014) Nigeria 4.6 (range 3–9) Weekly cast change, tenotomy 3 weeks 26.6% (42 feet) 56.8% (60 patients) No child with relapse wore braces Not reported 9 feet: cast complications, blisters, ulcers, skin rash
Ayana (2014) Ethiopia 8 (range 6–10) Casts changed every 2 weeks 63.6% (14 children, 21 feet) 100%; < 4 yrs. = FAB >4 yrs. = ankle foot orthosis Not reported 1 patient No major complications
Kouamo (2014) Togo Not reported Not reported 82.9% (34/41 feet) Not reported Not reported Not reported Not reported
Mangoli (2014) Kenya Not reported Not reported Not reported 100% of interviewed parents 15% (33/223) non-compliant Mean use 18 months (6–23) Not applicable 5% (11/223) skin lesion
Kaseke (2013) Zimbabwe Not reported Not reported Not reported Not reported Not reported 6 feet not reported at 6 weeks Not reported
Adegbehingbe (2012) Nigeria Not reported Not reported Not reported Not reported Not reported Not reported Not reported
Cashman (2012) Malawi Not reported Not reported >80% Not reported Not reported 107 children Not reported
Pirani (2012) Uganda Not reported Majority corrected by 6th treatment’ Not reported Not reported Not reported 83% adherence rate to end of casting Plaster burns in 19/1000
Harnett (2011) Malawi Median 5 (4–7) 42 days (35–84) in plaster prior to tenotomy. 52% (11 children) Given FAB to wear until 3 years old Not reported 2 after plaster. 1 patient died Not reported
Adegbehingbe (2010) Nigeria ≤ 6 (76.4%; range 2–6) >6 (23.6% range 7–10) 2.3–13.7 +/−1.7 weeks 5.5% (3 children) Not reported Noted as ‘generally good’ None, not explicitly mentioned 3.6% ugly scar, recurrence, blister, infection
Radler (2010) Mali Not reported Not reported Not reported Not reported Not reported Not reported Not reported
Firth (2009) South Africa 6.5 (range 2–18) Not reported 74% (78 feet) Received FABs, % unspecified 16% (11 patients) non-compliant Not reported 8% (9 feet) minor blistering from braces
Biruk (2007) Ethiopia Maximum cast 17 times Weekly cast change Not reported 60%, average wait time 3-4 months Not reported Not reported Not reported for Ponseti cohort
Lavy (2007) Malawi Not reported Not reported 37% had tenotomy 44% given FABs 44% (145/327 feet) 32% (155 feet) 307 adequate records
Khan (2005) South Africa Not reported Not reported Not reported Not reported Not reported Not reported Not reported
Tindall (2005) Malawi 5.3 Mean treatment 9.1 weeks 41% All Not reported Not reported 2 minor complications
Mkandawire (2003) Malawi Weekly cast change Mean treatment: 7.4 weeks for idiopathic, 7.1 weeks for complex Not reported Not reported Not reported 32 patients (35%) Not reported
  1. aOrdered by year of publication