01-22-2009, 12:35 PM
surgery shud b by the age?
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clubfoot - tik26
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01-22-2009, 07:56 PM
Clubfoot can be classified into extrinsic (supple) type, which is essentially a severe positional or soft tissue deformity; and intrinsic (rigid) type, where manual reduction is impossible. The type of clubfoot determines the specific therapy. Extrinsic clubfoot can be treated by serial casting, while intrinsic clubfoot eventually may require surgery. Plaster casting should be attempted on virtually all clubfeet, supple or rigid, as soon as practical. Casts initially are changed at semiweekly to weekly intervals and are continued until the deformity responds and is corrected fully. Persistent cast treatments by experienced clinicians have been reported to be successful in most patients.9 However, if a plateau is reached in treatment, surgery by a specialist in pediatric foot deformities should be considered, usually when the child is between six and nine months of age.10 The goal is to obtain a stable, "platform-like" position of the foot for future ambulation.
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