Clubfoot - Diagnosis and treatment - Children Orthopaedic Care Institute Pravira Hospital - Orthopaedic Hospitals - Book Appointment Online - Orthopaedic Hospitals in Wardha Road, Nagpur

What is Clubfoot

Club foot (congenital talipes equinovarus-C.T.E.V.) is one of the commonest congenital orthopedic problem and leading cause of disability in India and in all developing countries in the world. The incidence is 1-2 in 1000 childbirths. In India Out of those children who have born with this deformity only 20- 25% of children from urban areas, get proper care and treatment and get cured of the disease. Rest of the children either remains untreated (neglected); or even if some of them are treated, they get recurrences and remain disabled for the life. The incidence of getting disability due to neglected clubfoot is almost one third the incidence of HIV, or Tuberculosis per 1000 Indian population. In spite of having such a high incidence not much is spoken about it, as most of these children remain untreated and hidden in villages and tribal areas. In fact many of developing nations across the world now include clubfoot treatment as a part of their national health programs.

Types of Club Foot Deformity

Idiopathics Club Foot

Club foot is not associated with any other pathology. Ponseti Technique works very well in this condition.

Arthrogrypotic club foot

Club foot associated with Arthrogryposis multiplex congenita is a rigid deformity. The ligaments and structure are very tight and deformity is known for recurrence.

Club foot with Congenital Constriction band

Club foot associated with Congenital Constriction band syndrome is a rigid deformity and deformity is known for recurrence. It also needs release of constriction band

Neurogenic club foot

This foot deformity is known for recurrences and need long term physiotherapy and splint protocol

Neglected & Recurrent club foot

In India, and in other developing countries we are not fortunate to get children for treatment during infancy. Because of poverty, lack of education and socioeconomic reasons many of our children (more than 60%) are neglected and remain untreated. By the time we detect them during camps, they are already grown up (5 to 18 years of their life). With this age bones are deformed to great extent and deformities become severe and rigid which are difficult to correct. Also there is a large group of children who get inadequate treatment and deformities recur.

Problems neglected children face: Children with neglected or recurrent clubfoot deformities have walking difficulties. They are not able to wear normal shoe ware, not able to play sports and they cannot run. They have difficulty to squat which is the commonest position required in day to day life including use of toilets and working in farms. They walk barefooted and develop callosities on dorsum or lateral border of feet. They develop cracks and wounds frequently at the callosities and become painful. Social stigma of having reversed feet is a major issue and girls get problems in getting married.

We have developed a successful single staged surgical technique for management of neglected and recurrent club foot deformities. Till Date more than 2000 children has been operated successfully for neglected and recurrent club foot demormities.

Treatment

Achievement

With innovation of a new surgical technique developed by CHILDREN ORTHOPAEDIC CARE INSTITUTE, NAGPUR, Now the patients can properly eat food with their own hands and can also perform other daily routine activities like holding plates, taking Prasad or grasping small objects, holding pen/ pencils and can clean genital areas also.

Since last 15 years hundreds of children have been operated successfully by our innovative technique at our institute.

All of them are happy and living a very functional life overcoming their previous limitations.

The Research was published in the most Prestigious Journal in the field of Paediatric Orthopaedics i.e. (JPOA) in the year 2014 Read More

Invited as Guest Speaker in USA for Research on Congenital Radio Ulnar Synostosis and Club Foot

The reserch on Congenital Radio Ulnar Synostosis and Neglected Club Foot was appriciated in Sign Fracture International Conference in Richland Washington, USA in 2014. In presense of Dr. John Herzenberg and Dr. Norgrove Penny

National Level Global Achievers Awards 2013

In Year 2013, we received National level "Global Achievers Awards 2013" for Best Clinical Research Award In Congenital Radioulnar Synostosis & Club Foot for Childhood Disability in India at hand of Cultural Minister Chandresh Kumari & Chairmen UGC Mr. Sukhdev Thorat –Delhi.

Contact

Club Foot