Congenital clubfoot deformity, known as "congenital pes equinovarus deformity" in Latin, is defined as an inward deformity of the foot in children. This deformation, which is seen at a rate of 1 in 1000, is more common in men. In some of the cases, the presence of this problem is also detected in other family members. Clubfoot can be seen unilaterally or bilaterally. Pes equinovarus is more common in boys. and if there is clubfoot problem in the family, the risk of occurrence in the baby doubles. Crooked feet are more common in boys.
What is Clubfoot?
This deformation is an inward deviation from the middle part of the foot with inward turning in the front of the foot, softening in the heel and inward turning. is seen. The deformed foot is smaller than the other foot, and the calf on the same side is thinner. Although the exact cause of the disease is unknown; Combination of genetic and environmental factors is held responsible for the cause.
How to Diagnose Clubfoot?
It is possible to diagnose congenital clubfoot deformation clinically in the womb or immediately after birth with advanced ultrasonographic examinations. . Patients with congenital clubfoot deformities should also be evaluated in terms of congenital (developmental) hip dislocation.
How to Treat Clubfoot?
It is extremely important to start weekly plaster replacement treatment immediately after birth in the treatment of the disease. . The treating physician applies casts to the child's feet, which change every week according to the Ponseti technique. The pediatric orthopedist changes the plaster position every week and provides gradual improvement. This process is continued until the foot is fully recovered. Full recovery of the foot is achieved within 8-12 weeks with 4-6 weekly corrective casts and then a 4-week plaster cast. After the casting treatment is completed and the foot is healed, the child is put on the Ponseti device until the age of 2 years. For clubfoot (Pes Echinovarus Deformity), the child must be under regular control until the age of 8-10. Thanks to the early treatment in children with clubbed feet, the need for surgery is reduced and excellent improvement in deformity can be achieved.
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