How do you treat Equinovarus?

How do you treat Equinovarus?

Current treatment consists of casting and bracing or a combination of casting, bracing and surgery. Dr. Ignacio Ponseti developed the Ponseti method for treatment of clubfeet over 60 years ago. The pediatric orthopedic surgeons at Nationwide Children’s Hospital, use this method exclusively.

Does mild clubfoot need treatment?

Clubfoot is caused by a shortened Achilles tendon, which causes the foot to turn in and under. Clubfoot is twice as common in boys. Treatment is necessary to correct clubfoot and is usually done in two phases — casting and bracing.

Can clubfoot be repaired?

The well-treated clubfoot is no handicap and is fully compatible with a normal, active life. The majority of clubfeet can be corrected in infancy in about six to eight weeks with the proper gentle manipulations and plaster casts.

What is surgery for clubfoot?

Major reconstructive surgery for clubfoot involves extensive release of multiple soft tissue structures of the foot. Once the correction is achieved, the joints of the foot are usually stabilized with pins and a long-leg cast while the soft tissue heals.

How are clubfoot fixed?

How Is Clubfoot Treated? Clubfoot won’t get better on its own. It used to be fixed with surgery. But now, doctors use a series of casts, gentle movements and stretches of the foot, and a brace to slowly move the foot into the right position— this is called the Ponseti method.

What is the CTEV method of treatment?

Stretching method in CTEV Including stretching and strengthening exercises to regain range of motion and strengthen muscles of the foot and lower extremity to support, stabilize and decrease the stresses place on joint cartilage and the foot joint.

What are the causes of CTEV?

Causes of Clubfoot or Congenital Talipes Equinovarus or CTEV. A specific cause of the deformity has not been identified. The term idiopathic is used to refer to clubfoot where no other congenital abnormalities are seen. The large majority of patients have idiopathic or isolated clubfeet.

What is the best treatment for CTEV deformity?

The Ponseti casting technique of correction of CTEV deformity requires serial corrective casts with long term brace maintenance of the correction The treatment needs to be started as soon as possible and should be followed under close supervision [2,15].

Is it possible to correct CTEV without surgery?

Over the past two decades, more and more success has been achieved in correcting CTEV without the need for surgery by Ponseti casting technique, which has become a gold standard worldwide.

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