Congenital clubfoot: what to do

13 December 2017, 01:14 | Health
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In medical practice, there are two types of clubfoot: congenital and acquired. From the point of view of medicine, clubfoot is a deformation in which the foot is inward, its inner side is turned upwards and as if extended anteriorly. There is a multi-plane deformation, in which the heel is higher than usual, the foot bends in the form of an arc and is turned to the inner side and upward. There are also such varieties of this disease as: valgus foot, in which this part of the leg is twisted to the outside; Varus foot, in which the deformed outsole looks inwards.

If congenital clubfoot is not treated, the child will have difficulty getting up on the legs.

The cause of clubfoot in children is the pathology of the shin bone, which led to a dislocation between it and the scaphoid bone. Because of this, other bones and soft tissues of the fetus are irregularly formed.

Congenital clubfoot in some cases indicates the presence of any systemic disease and dysplasia (such diseases include arthrogryposis, osteochondrodysplasia and others), as well as the developmental defects of the fetus (say, the absence or shortening of the limbs). The clubfoot is one-sided and two-sided. The clubfoot of the newborn is a frequent, fairly common deformation. This disorder manifests itself when a child comes into the world and without treatment then develops.

On how far the contractures of the foot are fixed, the degree of clubfoot depends. Allocate the following degrees of severity:.

easy degree. The mobility of the ankle is preserved, deformation is corrected by passive methods;.

medium degree. Mobility is limited, perhaps a partial correction;.

heavy degree. Correction by passive methods is impossible.

Regardless of the degree of disease the child has, the functioning of the entire leg is deformed and changed. When clubfoot, the formation of bone tissue of the foot is disturbed in children.

Congenital clubfoot is diagnosed right away when the baby is born, so delaying the beginning of treatment does not make any sense. With a mild degree of ankle is encased in plaster, giving it a normal shape and orientation. So that the leg grows as expected, the gypsum is replaced every 14 days. If you start treatment immediately after detection of clubfoot, then afterwards cardinal measures will not be needed, and the baby's leg will develop normally. As orthopedists say, with an average or severe degree of disruption, surgical intervention is required. The operation is done very early in order to prevent further progression of the disease. In most cases, surgeons manage to achieve excellent results.

With a light congenital club foot, the baby's leg is placed in gypsum for a period of 10 to 26 weeks - it depends on the strength of the ailment. If you do everything in time, the ankle will get the right shape even before the baby starts walking.



After the gypsum is removed, it is necessary to systematically perform the X-ray of the foot and consult with the orthopedist to make sure that all the bones of the ankle are arranged normally and develop as expected. On the examination of the child must be given during the first two years of life, so as not to miss the onset of relapse. During this time, it will not often be necessary to put on the legs a special orthopedic footwear that ensures the correct formation of the foot.

dr20. en.

Based on materials: dr20.ru



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