Pediatric Orthopaedists work alongside other specialists to staff section for Children, a unique facility dedicated to providing comprehensive and interdisciplinary management for the full range of pediatric musculoskeletal and neuromuscular disorders. The section for Children has served tens of thousands of children who have benefited from its collaborative approach and groundbreaking therapies. Here, children and their families will find a team of experts to guide them through the medical, emotional, and social challenges they may face.
1-Congenital talipes equinovarus, commonly known as club foot, is a foot deformity in which the foot is twisted inward with the toes pointing down. It affects approximately 1 in every 750 -1,000 new borns. Club foot may affect one or both feet. In 30% to 50% of affected children, it involves both feet.
- Congenital – present at birth
- Talipes – deformity of the foot
- Equino – heel is high riding
- Varus – foot is turned inwards
Most cases of CTEV are idiopathic, this means that there is no known cause for the deformity.
2-The affected foot and calf are often smaller than usual. The skin and soft tissues of the calf and foot are short and underdeveloped, thus the heel bone (calcaneus) is held up high by a tight heel cord (achilles tendon) and the ankle bone (talus) is rotated forwards and inwards.
3-CTEV is a treatable condition. Usually, all children can assume normal active lives after treatment and by the time your child is starting to stand and walk, they should have fully functioning feet that will allow them to do anything that other children do. The CTEV foot can be slightly shorter, and the calf will remain slightly smaller but that does not affect the function of the foot.
4-We follow Ponseti technique for correction of CTEV. This technique was invented by Dr Ignacio Ponseti from Iowa, USA.
5- In this method, plasters are started within first few days of life. Serial corrective plasters are applied so as to correct the foot gradually. The plasters are changed every week with the final plaster being kept for 3-4 weeks. A total of 4-8 plasters may be required depending on the severity of clubfoot. Some feet may need a small surgery in which a muscle behind the heel (tendoachilles) may need to be cut. It reforms again in the elongated position and there are no side effects of this procedure. Ponseti has shown that feet treated with this method are more supple, flexible and mobile than those treated by major surgery.