![]() At initial presentation, one trial reported that the Ponseti technique significantly improved foot alignment compared to the Kite technique. ![]() The Pirani score is a scale ranging from zero to six, where a higher score indicates a more severe foot. We were able to analyse data on foot alignment (Pirani score), a secondary outcome, from three trials in participants at initial presentation. ![]() Two trials reported on the primary outcome of function using a validated scale, but the data were not suitable for inclusion because of unit‐of‐analysis issues, as raw data were not available for re‐analysis. All trials displayed high or unclear risks of bias in three or more domains. ![]() The use of different outcome measures prevented pooling of data for meta‐analysis, even when interventions and participants were comparable. Fourteen trials assessed initial cases of CTEV (560 participants), four trials assessed resistant cases (181 participants) and three trials assessed cases of unknown timing (153 participants). We identified 21 trials with 905 participants seven trials were newly included for this update.
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