TOTBİD Dergisi

TOTBİD Dergisi

2015, Cilt 14, Sayı, 3     (Sayfalar: 203-207)

Conservative treatment of the congenital clubfoot at advanced age

Timur Yıldırım 1, Avni İlhan Bayhan 1, Ayşegül Bursalı 2

1 S.B. Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
2 Ortopedi ve Travmatoloji Uzmanı, Özel Hekim

DOI: 10.14292/totbid.dergisi.2015.33
Görüntüleme: 628
İndirme : 1230

The main goal of the treatment of the clubfoot at advanced age is similar to infantile, which is to achieve a plantigrade, painless and functional foot. However, the bone and joints adjust to the deformity with the progression of the age; the foot gets stiffer, and thereby developes more resistance to correction by casting. In the treatment of neglected clubfeet with Ponseti technique, five to ten minutes of manipulation is mandatory for stretching the soft tissues. Either during casting or manipulation, it is important to keep the child calm for healthy intervention. Manipulated feet are retained in a long leg cast and the same procedure is repeated in 1 or 2 weeks of intervals until the deformity is corrected. Achilles tenotomy or lengthening must be applied for the correction of equinus deformity after the correction of the mid and forefoot. A Ponseti brace or AFO similar to infantile age treatments must be used for the prevention of relapses. Ponseti technique is a cheap, simple and effective option for achieving a plantigrade, flexible and functional foot in the treatment of children with clubfoot at advanced age.

Anahtar Kelimeler : talipes equinovarus, neglected; clubfoot; casting; Ponseti technique