ALGORITHM OF TREATMENT OF CONGENITAL CLUBFOOT IN CHILDREN OF YOUNGER AGE GROUP

Irina Yurievna Klychkova; Vladimir Markovich Kenis; Yulia Alexandrovna Stepanova; Andrey Victorovich Sapogovskiy; Nadezhda Alexandrovna Kovalenko-Klychkova; Stanislav Vyacheslavovich Ivanov

doi:10.17816/PTORS1121-25

Pediatric Traumatology, Orthopaedics and Reconstructive Surgery ›› 2013, Vol. 1 ›› Issue (1) :21 -25. DOI: 10.17816/PTORS1121-25

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ALGORITHM OF TREATMENT OF CONGENITAL CLUBFOOT IN CHILDREN OF YOUNGER AGE GROUP

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FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. H. Turner” of Health Ministry of the Russian Federation

Ph.D, chief of the department of foot pathology, neuroorthopedics and systemic

Ph.D, scientific advisor of the department of foot pathology, neuroorthopedics and systemic diseases

orthopedic surgeon of the department of foot pathology, neuroorthopedics and systemic diseases

research associate of the department of foot pathology, neuroorthopedics and systemic diseases

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Abstract

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.

Keywords

clubfoot / methods of treatment of clubfoot / Ponseti method / diagnostics of clubfoot

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Irina Yurievna Klychkova, Vladimir Markovich Kenis, Yulia Alexandrovna Stepanova, Andrey Victorovich Sapogovskiy, Nadezhda Alexandrovna Kovalenko-Klychkova, Stanislav Vyacheslavovich Ivanov. ALGORITHM OF TREATMENT OF CONGENITAL CLUBFOOT IN CHILDREN OF YOUNGER AGE GROUP. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery, 2013, 1(1): 21-25 DOI:10.17816/PTORS1121-25

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References

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[1]	Виленский В. Я., Малахов О. А., Штульман Д. А. Консервативное лечение врожденной косолапости у детей // Вестник травматологии и ортопедии. 2002. № 1. С. 12-17.

[2]	Кожевников В. В. Малоинвазивные хирургические вмешательства в комплексном лечении врожденной косолапости у детей: автореф. дис.. канд. мед. наук. Омск, 2008. 22 с.

[3]	Chu A., Lehman W. B. Persistent clubfoot deformity following treatment by the Ponseti method // J Pediatr Orthop. 2012. № 21 (1). Р. 28-39.

[4]	Cosma D., Vasilescu D., Vasilescu D., Valeanu M. Comparative results of the conservative treatment in clubfoot by two different protocols // Journal of Pediatric Orthopaedics. 2007. № 16. Р. 317-321.

[5]	Dobbs M. B., Corley C. L., Morcuende J. A., Ponseti I. V. Late recurrence of clubfoot deformity: a 45-year follow up // Clin. Orthop. Relat. Res. 2003. № 411. P. 188-192.

[6]	Morcuende J. A., Dobbs M. B., Frick S. L. Results of the Ponseti method in patients with clubfoot associated with arthrogryposis // Iowa Orthop J. 2008. № 28. Р. 22-26.

[7]	Stanitski C. L., Barker S., Chesney D. et al. Genetics and epidemiology of idiopathic congenital talipes equinovarus // J. Pediatr. Orthop. 2003. Vol. 7, № 23. P. 265-272.

[8]	Steinman S. A., Richards B. S., Faulks S., Kaipus K. comparison of two nonoperative methods of idiopathic clubfoot correction: the Ponseti method and the French functional (physiotherapy) method. Surgical technique // J. Bone. Joint. Surg. Am. 2009. № 91, Suppl 2. Р. 299-312.