Open AccessALGORITHM OF TREATMENT OF CONGENITAL CLUBFOOT IN CHILDREN OF YOUNGER AGE GROUP
Author(s) -
Irina Yurievna Klychkova,
Клычкова Ирина Юрьевна,
Vladimir Kenis,
Кенис Владимир Маркович,
Yulia A. Stepanova,
Степанова Юлия Александровна,
Andrey V. Sapogovskiy,
Сапоговский Андрей Викторович,
Nadezhda Alexandrovna Kovalenko-Klychkova,
Коваленко-Клычкова Надежда Александровна,
С В Иванов,
Иванов Станислав Вячеславович
Publication year - 2013
Publication title -
ortopediâ, travmatologiâ i vosstanovitelʹnaâ hirurgiâ detskogo vozrasta
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.157
H-Index - 4
eISSN - 2410-8731
pISSN - 2309-3994
DOI - 10.17816/ptors1121-25
Subject(s) - clubfoot , ponseti method , medicine , tenotomy , conservative treatment , surgery , radiography , rehabilitation , intervention (counseling) , foot (prosody) , tendon , deformity , physical therapy , linguistics , philosophy , psychiatry
Congenital clubfoot requires complete correction before the period of verticalization. Conservative methods are priority in treatment. The most effective method is Ponseti method that allows correcting all the deformations even in severe clubfoot. However, if clubfoot is accompanied with abnormal anatomy of foot or significant changes in functional ability of muscles, operative treatment is inevitable. The extent of surgical intervention depends on the severity of detected abnormalities and is determined individually. The use of ultasound, radiographic, and CT investigations, according to indications, contributes to the diagnostics. The indication for surgery is the lack of effect of conservative treatment after 10-12 cast correction in children over the age of 4 months. Diagnostic criteria for deciding in favor of surgery are: availability of fibrous coalition, the deformation of the talar or the sphenoid bone, the anomaly in the point of attachment of the tendon of the tibialis anterior muscle, lack of the repositioning of navicular bone on the talar head. Orthosis supply and rehabilitation treatment depend on the extent of surgical intervention.