Dolan For The Record Vol. Refusing to toe the line, a St. Louis orthopedist has championed the noninvasive methods of s pioneer Ignacio Ponseti. One of the more amazing stories of modern medicine was almost waylaid by conventional thinking. Clubfoot in newborns has traditionally been treated by surgery, often with poor results. In the s, Ignacio Ponseti, MD, professor emeritus of orthopedics and rehabilitation at the University of Iowa, pioneered a method for weekly casting and manipulation of the foot starting soon after birth.
Clubfoot in Adults
Clubfoot Repair: Treatments, Procedure & Outlook
Clubfoot occurs when a foot and ankle are permanently twisted. In clubfoot, the ligaments and tendons that hold the muscles to the bones are too tight. This causes the tissues around the ankle to hold the foot in an abnormal position. Clubfoot resembles the head of a golf club, which is how it got its name.
Clubfoot , called congenital talipes equinovarus or CTEV in medical language, is a common birth defect, occurring in about one out of every 1, births. At first, the foot is treated by trying to manipulate it back into its proper place and shape, but how the manipulation is done depends on the doctor, the facility, and the extent of the defect. Many studies have been done comparing techniques for managing clubfeet and in most cases, adults who were born with a clubfoot did well with manipulation and casting as children. They have good function for the most part, but many do have limited range of motion and may have pain if they are participating in long activities. Undergoing surgery during adolescence seemed like a good idea, but studies have shown that adolescents who do have surgery on their clubfoot often report problems after the surgery, including pain, weakness, difficulty using the foot properly, and difficulty with their gait.
Clubfoot, also called talipes equinovarus, is a deformity that occurs at birth when the foot is turned inward and the bottom of the foot faces sideways. It occurs when the tendons connecting the leg muscles to the foot bone are too short or tight. Treatment often occurs during infancy in the form of stretching, serial casting, or bracing. If clubfoot is not treated early, however, the condition persists into adulthood because clubfoot will not resolve on its own.