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. 2014 Aug 12;2014(8):CD008602. doi: 10.1002/14651858.CD008602.pub3

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
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
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