Congenital Talipes Equinovarus or Clubfoot – Causes and Treatment

Congenital Talipes Equinovarus or Clubfoot - Causes and Treatment

Esha was very happy. Finally, she was going to have a complete family. Her doctor had given her the best possible news. But all of a sudden Harish’s face turned pale. He didn’t understand what the doctor was trying to say. The doctor mentioned club foot. Harish asked, “What is club foot?”

Most of you might be aware of the term congenital talipes equinovarus (CTEV), but still, there are many people who are not aware of this term. Generally, it is known as clubfoot. Clubfoot is a condition in which a baby’s foot seems twisted or is rotated in an inward direction. It is difficult to say why this condition happens, but if it is ignored, it may worsen in the long run. However, if proper care is taken and in time, then it can be treated. Clubfoot (CTEV) is a condition which is observed in a child since birth and can be seen even later in life. It can be primary or secondary.

What is Clubfoot?

CTEV is a condition where a baby’s foot is rotated inward and can appear as if it is upside down.

Causes of Clubfoot

1. Primary Clubfoot

  • The cause of primary clubfoot is unknown, but theoretically, it has been said that if due to any reason the intrauterine pressure increases and forces the baby’s foot against the wall of the uterus in the above-mentioned position, this condition might develop.
  • A baby may have a clubfoot because of the genes.
  • If the blood supply to calf muscle is not enough within the uterus, then the baby might have this condition.

2. Secondary Clubfoot

  • When the downward and inward muscles of the foot become stronger than upward and outward muscles, in case of the paralytic condition, this condition develops.
  • When the muscles don’t develop the way they should.

Treatment

1. Operative:

Operative treatment is provided to a child who is above 1 or 2 years of age. If your child’s condition is severe, then the doctor will decide the course of treatment.

2. Non-operative:

  • If a child is above 1 month, the surgeon might manipulate the foot after giving sedation and try to change the position of corrected position with the help of strapping or plaster cast.
  • A medical practitioner will teach the mother to correct the foot after every feed. Mother is asked to manipulate the foot by firstly doing the ankle upward (in a way the tip of the great toe faces the ceiling) than outward (sole of foot face outside i.e away from the other foot).

Maintenance

Once the baby’s foot is normal, here is how you can make sure it remains that way itself:

  • Try the CTEV Splint
  • Try the Denis-Browne Splint
  • Get CTEV Shoes

So this was everything about clubfoot. I hope this information will help you.

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