A birth defect in which the foot is twisted out of shape or position. The cause of clubfoot is unknown. Babies with clubfoot are usually otherwise healthy. In clubfoot, the foot appears twisted and can even look as if it's upside down. Despite its appearance, clubfoot itself doesn't cause any discomfort or pain. Treatment is usually successful. It includes stretching and casting (Ponseti method) or stretching and taping (French method). Sometimes, surgery is required. Clubfoot describes a range of foot abnormalities usually present at birth (congenital) in which your baby's foot is twisted out of shape or position. In clubfoot, the tissues connecting the muscles to the bone (tendons) are shorter than usual. please comment thank u

1. CONGENITAL
CLUB FOOT
PREPARED BY
MARTIN SHAJI
PHARM D

2. Definition
Club foot is a congenital deformity of the
foot and ankle characterized by equinus
deformity at the ankle, inversion at the
sub talar, adduction at the mid tarsal joint,
cavus and internal tibia torsion

3. Clubfoot Is One Of The Most Common
Congenital Deformities..
About 1 - 2 in every 1000 children inborn with clubfoot worldwide..
A normal developing foot turns Into clubfoot around the 3rd month of foetal
life..
The cause Is not exactly known, but Is believed that genetic &environmental
factors a-e Involved..
More In boys than in girls..
One or both feet may be Involved.

4. WHAT ACUTALLY HAPPENS ?

5. ETIOLOGY
A. Congenital (CTEV)
1. ldiopathic—(Commonest)
2. Myogenic—Arthrogryposis
3. Neurogenic—Spina bifida, Myelocele, Meningocele, Cerebral
palsy
4. Osteogenic— Absent tibia

6. ETIOLOGY (cont……)
B acquired (ATEV)
1. Paralytic—Poliomyelitis, Myopathy, Peroneal muscle
dystrophy
2. Inflammatory— Post infective contracture of muscle –
3. Traumatic—Injury in leg, ankle or foot, VIC

7. CLINICAL FEATURES
Clubfoot can be recognized in the infant examination. The foot is
inturned (twisted inward), stiff with the soles face
posteromedially
The heel is usually small and high retracted to the leg, and deep
creases appear posteriorly and medially.
it cannot be brought to a normal position(plantigrade position,
meaning flat on the floor.)
The infant must always be examined for associated disorders
such as congenital hip dislocation and spina bifida

8. TYPES OF CLUB FOOT

9. DIAGNOSTIC PROCEDURES
• X-ray
• Ultrasonography
• CT-scan

10. COMPLICATIONS
Clubfoot typically doesn’t cause any problems until a child
starts to stand and walk. If the clubfoot is treated, the child
will most likely walk fairly normally. He or she may have
some difficulty with:
Mobility. The child’s mobility may be slightly limited.
Shoe size. The affected foot may be up to 1 1/2 shoe sizes
smaller than the unaffected foot.

11. TREATMENT
• Non surgical treatment should begin shortly after birth
• GENTLE MANIPULATION
• IMMOBILIZATION
• Strapping
• Pop /synthetic cast

12. TREATMENT ( cont….)
• Non surgical treatment should begin shortly
after birth
• SPLINTS TO MAINTAIN CORRECTION
• Dennis brown split
• Ankle foot orthosis

13. Surgical Treatment
Bony operations.
Indications.
Usually accompanied with soft tissue operation
Types:
- Osteotomy, to correct foot deformity or mt, tibial torsion
- - Wedge excision
- - Arthrodesis (usually after bone maturity)one or several joints
- - Salvage operation to restore shape

14. CLUB FOOT
Postoperative nursing considerations.
Neurovascular checks at least every 2 hours.
Observe for any swelling around cast edges.
Elevate ankle and foot on pillows.
Pain management
(analgesics)-‚—