Non-surgical treatment of congenital clubfoot

الملخص EN

-Objective : To evaluate how effective was the conserva-five treatment in managing congenital talipes equinovarus deformity.

Methods : This is a retrospective study of 25 children treated with manipulation, casting followed by percutane-ous tenotomy at the age of thee months with casting till age of walking with afollow-up between 2-5 years 25 pa-tients IS males 7females M\F (2.

6-1), 19 bilateral (15 M, 4 F), 6 unilateral (3 M, F) total of44feet.

Result : The first three months offer the skilled and knowledgeable surgeon a golden opportunity to correct the deformity I)}' manipulation and casting.

Proper manipula-tive techniques followed by the applications ofwell-molded plaster casts offer the best and safest correction of most clubfeet in infants.

Failures ofmanipulative treatment usually’ occur when the surgeon lacks a thorough knowledge ofthe kinematics and pathological anatomy ofthe deformity.

Conclusion : CTEV can be treated by manipulation, casting and ETA in clout 70 % ofcases with good results if managed early and by skilled orthopedic surgeon.

Some feet are unpredictable and in spite ofthe severity ofthe deformity, respond well to conservative treatment.