1887
Volume 2003, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Objective: To evaluate how effective was the conserva-tive treatment in managing congenital talipes equinovarus deformity.

Methods: This is a retrospective study of 25 children treated with manipulation, casting followed by percutane-ous tenotomy at the age of thee months with casting till age of walking with a follow-up between 2-5 years 25 pa-tients 18 males 7females M\F (2.6-1), 19 bilateral (15 My 4 F), 6 unilateral (3 M, 3 F) total of 44 feet.

Result: The first three months offer the skilled and knowledgeable surgeon a golden opportunity to correct the deformity by manipulation and casting. Proper manipula-tive techniques followed by the applications of well-molded plaster casts offer the best and safest correction of most clubfeet in infants. Failures of manipulative treatment usually occur when the surgeon lacks a thorough knowledge of the kinematics and pathological anatomy of the deformity.

Conclusion: CTEV can be treated by manipulation, casting and ETA in about 70% of cases with good results if managed early and by skilled orthopedic surgeon. Some feet are unpredictable and in spite of the severity of the deformity, respond well to conservative treatment.

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2003-12-01
2024-03-28
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References

  1. Lehman WB, Armstrong PF, Cummings RJ, Davidson RS. Clubfoot controversies. Instructional course lectures No. 404; AAOS 67th annual meeting.
  2. Zimbler S. Nonoperative treatment of the equinovarus foot: long term results. In: Simons GW, ed. The clubfoot: The present and a view of the future. New York: Springer-Verlag 1994;:191193.
    [Google Scholar]
  3. Nather A. Conservative and Surgical Treatment of Clubfoot. J Pediatr Orthop. 1987; 7:1:4248.
    [Google Scholar]
  4. Cummings RJ, Lovell WW. Operative treatment of congenital idiopathic clubfoot. J Bone Joint Surg Am. 1988;:11081112.
    [Google Scholar]
  5. Hutchins PM, Foster BK, Paterson DC, Cole EA. Long-term results of early surgical release in clubfoot. J Bone Joint Surg Br. 1985; 67::791799.
    [Google Scholar]
  6. Laaveg SJ, Ponseti IV. Long-term results of treatment of congenital clubfoot. J Bone Joint Surg Am. 1980; 62::2331.
    [Google Scholar]
  7. Aronson James, Puskarich CL. Deformity and disability from treated clubfoot. J pediatr Orthop. 1990; 10::109119.
    [Google Scholar]
  8. Karski Tomasz, Wosko Ignacy. Experience in the conservative treatment of congenital clubfoot in newborns and infants. J pediatr Orthop. 1989; 9::134136.
    [Google Scholar]
  9. Lau JHK, Meyer LC, Lau HC. Results of surgical treatment of talipes equinovarus congenital. Clin. Orthop. 1989; 248::219226.
    [Google Scholar]
  10. Levin MN, Kuo KN, Harris GF, Mate si DV. Posteromedial release for idiopathic talipes equinovarus. A long-term follow-up study. Clin. Orthop. 1989; 242::265268.
    [Google Scholar]
  11. Ponseti IV. Treatment of congenital clubfoot. J Bone Joint Surg. 1992; 74-A::3.
    [Google Scholar]
  12. Harrold AJ, Walker CJ. Treatment and prognosis in congenital clubfoot. J Bone Joint Surg (Br). 1983; 65::811.
    [Google Scholar]
  13. Kite JH. Non-operative treatment of congenital clubfoot. Clin Orthop. 1972; 84::2938.
    [Google Scholar]
  14. Mckay DW. New concept of and approach to clubfoot treatment: Section III: Evaluation and results. J Pediatr Orthop. 1983; 3::141148.
    [Google Scholar]
  15. Turco VJ. Clubfoot. New York: Churchill-Livingstone 1981;:96100.
    [Google Scholar]
  16. Ponseti IV. Current Concepts Review. Treatment of Congenital Clubfoot. J Bone Joint Surg. March 1992; 74-A:3:448454.
    [Google Scholar]
  17. McKay DW. New concept of and approach to clubfoot treatment: Section I: Principles and morbid anatomy. J Pediatr Orthop. 1982; 2::347356.
    [Google Scholar]
  18. Haruyasu Yamamoto MD. Nonsurgical Treatment of Congenital Clubfoot with Manipulation, Cast, and Modified Denis Browne Splint. J Pediatr Orthop. 1998; 18:4:538542.
    [Google Scholar]
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  • Article Type: Review Article
Keyword(s): Clubfootcongenital talipes equinovarusmanipulation casting and posteromedial release
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