It is estimated that more than 100,000 babies are born world¬wide each year with clubfoot deformity. 80% of these babies are born in developing nations. Most of these are untreated or poorly treated. Neglected club¬foot causes crushing physical, social, psychological and financial burdens on the patients, their families, and the society. Globally, neglected clubfoot is the most serious cause of physical disability amongst all the congenital musculoskeletal disorders.

Clubfoot, also called congenital talipes equinovarus (CTEV), is a congenital deformity involving one or both feet. The affected foot appears to be rotated internally at the ankle, resembling a golf club.   It is a relatively common birth defect, occurring in about one in every 1,000 live births. Approximately half of the children with clubfoot have it in both feet. With proper treatment in early childhood, these children can have normal looking feet and play outdoor sports like any other normal child.

An 18 year old boy met with an unfortunate accident on the road. He was pillion-riding on a bike which was knocked down by a 4-wheeler near krishnagiri in Tamilnadu. He was immediately rushed to the Govt. Hospital at krishnagiri,initial hemodynamic stabilization was done and was shifted to a major hospital in Bangalore. On evaluation,he was found to have an unstable fracture of the pelvic ring and a closed fracture of the shaft of his right femur. He however.continued to be hemodynamicallly unstable and his Hemoglobin was hovering around 5.5g% inspite of repeated blood transfusions.at this stage,he was transfered to our hospital for angio-embolization of pelvic vessels.At CT angiogram was done here, which did not show any active bleeder. However,there was a large retro-vesical hematoma collection displacing the urinary bladder.The interventional Radiologist opined that angio-embolization was not necessary.

Ms, A, a 10 year old bubbly girl is one of the twins born prematurely.When she was about 3 years old,her mother noticed that her back was bent to the left.They visited various hospitals sporadically and when the deformity was quiet evident,she presented to us at the age of 7 years. She was diagnosed to have an Early Onset Scoliosis.

It was a left thoracic curve from T5 to T12 measuring 55 degrees.MRI showed no spinal card anomaly. It required surgical corrections. However instrumentation and fusion at the age of 7 years would stunt the growth of her lungs and hence she was treated with Growth Rods with anchors T4 & 5 and T12 & L1(Synthes USS ll System). aThe rods were distracted once in 6 months maintaining correction and allowing development of lungs. She underwent 3 more such distractions after the index surgery at 6 monthly intervals.