Volume : 7, Issue : 5, May - 2018

Management of Club foot - our Experience

Dr. R. Tembhurnikar, Dr. R. K. Dulani, Dr. S. Rawate, Dr. P. Kothari

Abstract :

<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:14.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Congenital talipes equinovarus is the Commonest congenital anomaly with a incidence of one to two per 1000 live births. Over the centuries it has been treated by various modalities, but the dilemma facing the surgeon has been a strong tendency to relapse.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:14.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">It is defined as a fixation of the foots in a hand - like orientation - in adduction, supination and varus - with concomitant soft tissue abnormalities. Despite advances in treatment, disability often persists. The aetiology of the condition has been little studied and is poorly understood. Neurological, muscular, bony, connective tissue and vascular mechanisms have been proposed, put the only firm evidence is that the mildest cases appear to be associated with intra-uterine posture. There is evidence for a genetic contribution to congenital talipes equinovarus aetiology. Its incidence varies with ethnic group, and we found that a family history is present in 24-50% of cases, depending on the population studied. <o:p></o:p></span></p>