Nonoperative Management of Neglected Clubfoot- Our Experience

Abstract

BACKGROUND The incidence of congenital talipes equinovarus is approximately one in every 1000 live births. Most cases are sporadic in occurrence. Contractures or anomalies of the soft tissues exert further deforming forces and resist correction of bony deformity and realignment of the joints. Our study has been done to know the efficacy of nonoperative management. MATERIALS AND METHODS Our study is done with children presenting with neglected clubfoot at different ages from one year to two years of age. The deformity in these children is persisting because of no treatment or discontinued treatment after early initial attempts for correction. RESULTS The target set for achieving Pirani is 0 with clinical deformity turning to neutral or overcorrection. The Pirani score improvement achieved in 10 out of 42 cases. CONCLUSION Nonoperative management even in neglected cases of clubfoot can be tried to correct the deformity while preserving the normal anatomy in favourable progressions.