Clubfoot (CTEV)

Clubfoot, or congenital talipes equinovarus (CTEV), is a birth defect in which one or both feet are rotated inward and downward. The affected foot appears twisted, making walking difficult or impossible if left untreated. The exact cause is unknown, but it may be related to genetic and environmental factors.

Key Characteristics of Clubfoot:

• Foot Position: The foot is turned inward, and the toes point downward.
• Stiffness: The affected foot is usually stiff and inflexible.
• Smaller Foot Size: The affected foot and calf muscles are often smaller compared to the unaffected side.
• Walking Issues: Without treatment, the child may walk on the sides or tops of the feet.

Treatment:

Early treatment is crucial for improving the outcome. The most common treatment method is the Ponseti method, which involves:

• Manipulation and Casting: The foot is gently manipulated and placed in a cast to gradually correct its position. This process is repeated weekly for several weeks.
• Achilles Tenotomy: A minor procedure to release the tight Achilles tendon, which may be necessary in some cases.
• Bracing: After the foot’s position is corrected, the child must wear a brace to maintain the correction and prevent relapse.

In severe cases, surgery may be required to correct the deformity.

Prognosis:

With proper treatment, most children with clubfoot can lead normal, active lives. Early intervention is key to achieving the best results.