Study of contemporary literature on the topic of “Congenital clubfoot in children”

Abstract

Background: Clubfoot (TEV) is a congenital disorder, involve bone deformity and malposition in form of a curled shape or twisted position of the ankle, heel and toe with soft tissue contraction, that if left untreated can limit a person’s mobility by making it difficult and painful to walk although inexpensive and reliable treatment exist, especially with the ponseti method. Material of study: Congenital clubfoot (CTEV) is including several form of deformity: Talipes varus, Talipes valgus, Talipes equines, Talipes calcaneus, Talipes cavus. Easily identify in a new born which present with abnormal shape and rigid foot, leg torsion and tightening of Achilles tendon. Therefore immediately apply treatment with gentle manipulation follow by serial of casting, ending with splintage. Failure of conservative treatment and late presentation after 5 month of age are indications for surgery. Results: Affected foot is usually smaller and shorter. Approximately appear in 1 case per 1000 live birth, male-to-female ratio is 2:1, bilateral involvement in 30%-50% of cases, there 10% chance of subsequent child being affected if parents already have a child with a clubfoot. Conclusion: Clubfoot is the most common congenital anomaly of the foot found in children, frequency ranks second after locomotors pathology. It affects mainly males, as can be unilateral and bilateral. Outcome following management is subjectively good for the majority of patients.