Accelerated versus standard Ponseti method for idiopathic congenital talipes equinovarus: a systematic review and meta-analysis

Background. The standard Ponseti method is a mainstay of treatment for children with congenital talipes equinovarus (CTEV); involving weekly manipulation and long-leg casting, this approach has proven to produce good long-term outcomes. However, it takes approximately 45 weeks correct all deformity components, making compliance challenge patients limited economic resources difficulty reaching healthcare centres.
 Aim. This study aims compare outcomes between an accelerated protocol applying the same casts but changing them more frequently, every 2-5 days CTEV pathology.
 Methods. A systematic search was conducted based on PRISMA guidelines identify relevant studies through PubMed, Google Scholar, Cochrane Database. total seven (324 patients, 408 feet) were included in meta-analysis. Five compared two procedures: post-procedure Pirani score, relapse rate, tenotomy number casts, duration treatment.
 Results. For treatment, superior (24.25 vs. 41.54 days, p 0.00001). On other hand, achieved comparable efficacy as measured by score (1.01 0.87, = 0.19). Furthermore, procedures also terms needed (4.94 5.05, 0.76), rate (73.29% 65.27%, 0.07) , (27.72% vs 25.23%, 0.56).
 Conclusion. Accelerated offers similar shorter technique.