Thursday, July 20, 2017

Clubfoot Treatment


The therapy consist of correction of deformity by non-operative or operative methods, then maintainence of the foot within the corrected position. This really is continued until the foot grows to some reasonable size so the deformity does not occur. treatment ought to be started as early as possible.

NON OPERATIVE METHODS

MANIPULATION ALONE

MANIPULATION AND STRAPPING OR CORRECTIVE PLASTER CAST

OPERATIVE METHODS:
  1.  POSTERIOR-MEDIAL SOFT TISSUE RELEASE
  2.  LIMITED SOFT TISSUE RELEASE
  3.  TENDON TRANSFERS
  4.  DWYER’S OSTEOTOMY
  5.  DILWYN-EVANS PROCEDURE
  6.  WEDGE TARSECTOMY
  7.  TRIPLE ARTHRODESIS
  8.  ILIZAROV’S TECHNIQUE


Ways of MAINTAINENCE OF CORRECTION:
  • CTEV SPLINTS
  •  DENIS-BROWN SPLINT
  •  CTEV SHOES
Physiotherapy Treatment
Pain relief
Reduce stiffness
Relieve spasm
Muscle strengthening
Prescription of splint.
Foot wear modificationv

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