Rijal 2010.
| Methods | RCT. Two‐arm parallel‐group design | |
| Participants | 38 participants with 60 CTEV feet who presented to one outpatient clinic Inclusion criteria: CTEV Exclusion criteria: prior intervention for CTEV, over 2 years old PARTICIPANT CHARACTERISTICS Age mean (SD, range) days: 195.7 (202.81 3 to 720 days) Sex male (%): 76.2% Basline severity: unclear (report states the groups were equal at baseline for age, sex and Pirani scores) Ponseti Characteristics of feet: 30 feet. 10 unilateral, 8 (4 participants) bilateral. The remaining 12 feet (12 participants) were bilateral cases where one foot was randomised to each group Kite Characteristics of feet: 30 feet. 6 feet unilateral, 12 feet (6 participants) bilateral. The remaining 12 feet (12 participants) were bilateral cases where one foot was randomised to each group |
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| Interventions | Ponseti versus Kite technique in initial treatment of CTEV Randomisation of feet (not participants) Casts were changed in both groups at weekly intervals for 10 weeks. Tendo Achilles tenotomy was undertaken in both groups for those with residual equinus deformity. Feet which were not corrected at the end of 10 weeks were subject to surgical correction Follow‐up: end of treatment |
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| Outcomes | Pirani score | |
| Notes | ||
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Computer random generation |
| Allocation concealment (selection bias) | Unclear risk | Insufficient information |
| Blinding (performance bias and detection bias) All outcomes | High risk | Unable to blind intervention providers. Observers were blinded. Participant blinding unlikely to affect outcome |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | No missing data |
| Selective reporting (reporting bias) | High risk | Insufficient information on adverse events |
| Other bias | Unclear risk | Unsure of operative intervention required after each intervention |