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All Journal International Journal of Health Science
Febri Pranata Utama
Bhayangkara Level III Hospital
Health Professions Public Health Social Sciences

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Congenital Talipes Equinovarus : A Systematic Review of Relapse as a Primary Outcome of the Ponseti Method Febri Pranata Utama
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.7238

Abstract

Congenital Talipes Equinovarus (CTEV) or clubfoot is a common congenital musculoskeletal deformity characterized by cavus, adduction, varus, and equinus abnormalities. The Ponseti method is currently the gold standard for conservative treatment of idiopathic CTEV due to its effectiveness and minimally invasive approach. This systematic review aimed to evaluate recurrence rates following Ponseti treatment and identify factors associated with relapse. The review was conducted according to PRISMA guidelines using PubMed, Scopus, Embase, and Cochrane Library databases. Studies involving idiopathic CTEV patients treated with the Ponseti method and followed for at least two years were included. Of 310 identified articles, five studies met the eligibility criteria. Recurrence rates ranged from 3.7% to 67.3%, with an average of approximately 20–30%. The main factors associated with relapse were poor compliance with foot abduction brace use, higher Pirani scores, age at initial casting, and longer follow-up duration. Recurrence commonly presented as equinus, adduction, varus deformities, or dynamic supination. Although most relapses responded to repeat casting or minimally invasive procedures, severe cases required additional corrective interventions. Long-term follow-up, family education, and brace adherence remain essential for preventing recurrence and maintaining successful outcomes.
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