Also known as Congenital Talipes Equino Varus (CTEV)
ABOUT THE DISEASE
Clubfoot is a disease affecting new born kids when the foot turns inward and downward. It is a congenital condition, which means it is present at birth. The frequency of congenital clubfoot is approximately 1 per 1,240 live births.
SYMPTOMS
The appearance is very obvious : the foot is turned to the side and it sometimes even appears that the top of the foot is where the bottom should be.
The calf muscle and foot may be slightly smaller than normal.
DIAGNOSIS
- Physical examination
- Foot X-ray
CAUSES
This is one of the most common congenital disorder of legs. Although there is no known cause for congenital clubfoot, the use of drugs or alcohol during pregnancy or the presence of other diseases can cause it and a family history increases the chances of the disease being passed through the generations.
TREATMENT METHODS
Nonsurgical Treatment
Treatment should begin as soon as possible to have the best chance for a successful outcome without the need for surgery. A particular method of stretching and casting, known as the Ponseti method, is used to treat this problem. In this method, the cast is changed every week for several weeks, stretching the foot towards the correct position. The heel cord is then released followed by one more cast for three weeks.
Once the foot has been corrected, the child must wear a brace at night for two years to maintain the correction.
Surgical Treatment
Is suggested when stretching, casting and bracing are not enough to correct clubfoot. Surgery is usually done at 9 to12 months of age.
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