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Cummings RJ – The authors were not able to demonstrate that BTX–A as administered in this study speeds correction, reduces the need for percutaneous Achilles tenotomy, or decreases the chance of relapse after treatment when used as an adjunct to serial manipulation and casting for congenitial clubfoot. It is possible that BTX–A could have a treatment effect that due to the power of the study would not have been detected by the study.

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