Clubfoot (Congenital Talipes Equinovarus) is a common birth defect, seen in about 1 in 1,000 children. In this condition, the baby's foot is twisted out of shape so that it looks like a "golf club". The condition affects the muscles, tendons, and bones, causing the foot to turn inward and downward. The severity of this condition can range from mild to severe, and it can affect one foot or both feet.
The exact cause of clubfoot is unknown, though genetic factors seem to play a role. It may also be seen with certain neurological disorders.
Treatment
The Ponseti Method of plaster application is presently the most commonly used treatment worldwide. In this technique, the foot is gently stretched and then a plaster is applied from the toes to the thigh. The plasters are changed once a week. Before the last plaster is put, a minor procedure to loosen the Achilles tendon (heel cord) is done.
After the last plaster is removed, the child needs to wear a special brace in order to keep the foot in the correct position.
The child needs to wear the brace full - time (23 hours/day) for the first 3 months. After that, the brace has to be worn at night for 10 - 12 hours till the child is 4-5 years old.
Research shows that children who follow the recommended bracing routine are much less likely to have their clubfoot return. However, if the brace is not used as advised, there's a high chance the foot could go back to its twisted position, and this might mean the child will need more treatments, possibly even surgery.
With early and appropriate treatment, most children with clubfoot can lead active, normal lives. Without treatment, the condition can lead to significant disability, including difficulty walking and chronic pain.