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Clubfoot in Children

Clubfoot in Children - What it is

​What is Congenital Talipes Equino Varus (CTEV) / Club Foot?

Congenital Talipes Equino Varus (CTEV) for short is commonly known as clubfoot. This is a condition where a child presents with either one or both feet pointing downwards and turns inwards.  There are two types of CTEV: postural and structural.

  • Postural CTEV involves muscle imbalance and / or tightness. There is usually no bone or joint involvement.
  • Structural CTEV involves the bone and joints of the foot, where the child's foot cannot be passively put through a full range of motion.

Club foot treatment at KKH

Clubfoot in Children - Symptoms

​Signs and Symptoms of Club Foot

  • Feet turning inwards
  • Tightness in calf muscles
  • For structural: the foot has decreased joint range of movement.

Clubfoot in Children - How to prevent?

Clubfoot in Children - Causes and Risk Factors

Causes of Club Foot

  • Postural: packing disorder (first born baby; big baby >4kg at birth; decrease fluid surrounding the baby)
  • Structural: The cause is unknown and in some, it can be genetics.

Complications

  • Abnormal walking pattern.
  • Foot pain due to abnormal foot positions.

Clubfoot in Children - Diagnosis

​Tests and Diagnosis for Club Foot

  • Orthopaedic assessments

Clubfoot in Children - Treatments

​Treatment Options for Club Foot

  • Postural: Self resolving. In some cases, physiotherapy intervention for stretching and stimulation to the feet is required.
  • Structural: Serial casting and manipulation with minimal surgery if neccessary. In severe cases, surgery may be required. This is followed by maintenance with special boots and bar till 4 years of age.

Clubfoot in Children - Preparing for surgery

Clubfoot in Children - Post-surgery care

Clubfoot in Children - Other Information

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