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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.

Prof. Ignacio Ponseti of Iowa, USA revolutionized the treatment of Clubfoot. We, at Ananya Orthopaedic Center follow the principles of Ponseti in treating our children with clubfoot deformity. The treatment begins as early as 3-4 days after birth. It involves gentle corrective manipulation of these feet and holding the correction in above knee POP casts. These children do not need any anaesthesia or sedation for this gentle manipulation and cast application.  One of the immediate family members can be present while this procedure is carried out. Typically these children would need between 4 & 6 corrective cast applications at weekly intervals. At this stage, majority of children would need a small surgical release of the heelcord (Achilles Tendon) for completion of correction. This heelcord release is a day-care procedure done under sedation, followed by the final corrective POP cast application. This cast will remain for 3 weeks. This completes the acute correction of clubfoot deformity.

Parents are an active part of this treatment protocol. They are equal share partners along with the treating surgeon in achieving & maintaining correction lasting a life time. As soon as the last POP cast is taken out, the child’s feet go into a Foot Abduction Brace (FAB) for maintenance of correction achieved by the plaster casts. The foot abduction brace is a devise with 2 boots attached with a bar, holding the feet in corrected position.  Bracing is round the clock for the first 3 months and then for 16-20 hrs/ day based on the treating Surgeon's advice, for the next 3 years. Strict adherence to this bracing protocol is essential for achieving complete & lasting correction at the end of the treatment.

The commonest cause for recurrence of foot deformity after complete correction is deviation from this strict bracing protocol. Recurrent deformity is more difficult to treat, less likely to result in normal looking feet and may in some instances necessitate extensive surgery resulting in unsightly & painful scars!

Ponseti treatment is the most commonly practiced method of Clubfoot treatment around the world today and Ananya Orthopaedic Center is committed to offering this world-class treatment at an affordable cost.

Please feel free to talk to the Doctor for any more information that you may need.

Wednesday, 02 March 2016 11:27
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  • Mittie

    Mittie - Thursday, 26 October 2017

    Useful info. Fortunate me I found your website by accident,
    and I am shocked why this twist of fate didn't came about earlier!
    I bookmarked it.

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