Table 1 Level 2 evidence and the development of the ‘fast cast’ protocol for typical clubfeet
Author, date | No. Participants = n | Avg age at start | Cast changed | Avg days in casts - ‘fast’ group | Tenotomy rate | Follow up | Comment |
|---|---|---|---|---|---|---|---|
Morecuende, 2005 | 230 (non-random) | Not stated | 5 days | 30 | 85% | Study ran over 11 years | Older study, NR sample |
Harnett, 2011 | 40 (RCT) | 21 days | 3 / week | 16 | 79% | Min 6 mths Ave 8 mths | Youngest children |
Xu, 2011 | 26 (RCT) | 92 days | 2 / week | 20.6 | 87% | 2–6 years | Manipulation time of 2 min |
Ullah, 2014 | 28 (RCT) | 18 weeks | 2 / week | 23.3 | 80% | Not reported | |
Elgohary, 2015 | 41 (RCT) | 11 weeks (SD 7) | 2 / week | 18.1 (SD 3) | 91% | 12–48 mths | Relapse rate 15% both groups |
RCT data summary | RCTs n = 135 | 11 weeks | 2/week | 19.5 days | 84% average | 1 year (3 RCTs) | Young infants, 2 min. Stretch |