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Articles Published Processes
6/12/2026 6:20:01 AM | Browse: 0 | Download: 0
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Received |
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2026-01-09 03:44 |
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Peer-Review Started |
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2026-01-09 03:44 |
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First Decision by Editorial Office Director |
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2026-02-14 07:26 |
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Return for Revision |
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2026-02-15 04:41 |
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Revised |
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2026-02-24 17:59 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-05-20 02:38 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-05-20 09:53 |
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Articles in Press |
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2026-05-20 09:53 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-05-26 06:09 |
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Publish the Manuscript Online |
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2026-06-12 06:20 |
| ISSN |
2308-3840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Orthopedics |
| Manuscript Type |
Meta-Analysis |
| Article Title |
Paradigm shift in clubfoot care strategies in Pakistan: A meta-analysis over three decades
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Anisuddin Bhatti, Saddam Mazar Baloch, Jose Antonio Morcuende, Kiran Jaffri and Muhammad Yousuf Bhatti |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Saddam Mazar Baloch, Assistant Professor, Consultant, MD, Orthopaedic and Spine Surgery, Dr Ziauddin Hospital Clifton, 4/B Shahrah-e-Ghalib Rd, Block 6 Clifton, Karachi 75600, Sindh, Pakistan. drmazar@gmail.com |
| Key Words |
Clubfoot; Orthopaedic procedures; Surgery; Conservative treatment; Pakistan; Treatment outcome; Congenital abnormalities; Health services accessibility; Paediatrics; Ponseti method |
| Core Tip |
This meta-analysis synthesizes 35 years of clubfoot management literature from Pakistan, documenting a complete paradigm shift from predominantly surgical approaches (pre-2005) to the Ponseti method as the dominant strategy (96% adoption by 2025). Pooled short-term success reached 87.2% (approaching global benchmarks of 90%-95%), with referral age declining to 6.3 months, highlighting the impact of national training programs. However, very short follow-up (mean 1.8 years) represents a major limitation, as global evidence shows relapse rates rise significantly after age 4-5 years, emphasizing the need for long-term studies to confirm durable correction in resource-limited settings. |
| Publish Date |
2026-06-12 06:20 |
| Citation |
Bhatti A, Mazar Baloch S, Morcuende JA, Jaffri K, Bhatti MY. Paradigm shift in clubfoot care strategies in Pakistan: A meta-analysis over three decades. World J Meta-Anal 2026; 14(2): 118716
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| URL |
https://www.wjgnet.com/2308-3840/full/v14/i2/118716.htm |
| DOI |
https://doi.org/10.13105/wjma.v14.i2.118716 |
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