Update on clubfoot

  title={Update on clubfoot},
  author={Paul J. Gibbons and Kelly Gray},
  journal={Journal of Paediatrics and Child Health},
Congental talipes equinovarus, or clubfoot, remains one of the commonest congenital limb deformities. The genetics of this condition are not yet fully understood. It is increasingly being diagnosed on prenatal ultrasound with implications for prenatal counselling. With the widespread acceptance of the Ponseti method of clubfoot treatment major surgical interventions are needed much less frequently and long‐term outcomes are improved. 
Congenital Talipes Equinovarus : A Case Report Of Bilateral Clubfoot In Three Homozygous Preterm Infants
  • Medicine
  • 2013
This case study outlines the various etiologies, diagnostic modalities, and treatment methods of an incidence of bilateral clubfoot, which presented in three homozygous male preterm triplets.
Idiopathic Rigid Clubfoot with Midfoot Abductus
We report a rare case of a newborn patient with severe, rigid, bilateral idiopathic clubfeet with midfoot abductus, successfully corrected through á la carte complete circumferential release with
Current conservative management and classification of club foot: A review.
The aim is to review the different types of conservative method and the assessment of clubfoot severity and to evaluate the outcome of the treatment.
Ponseti method in the management of clubfoot under 2 years of age: A systematic review
The current evidence of Ponseti method (manipulation, casting, percutaneous Achilles tenotomy, and bracing) in the management of clubfoot under two years of age is reviewed, noticing that relapses occur in nine studies, which is due to the non-adherence of bracing regime and other factors such as low income and social economic status.
Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis
A case of a 17-year-old boy with a dysmorphic ankle and a complete dorsal dislocation of the Chopart joint, who underwent a staged correction of the dislocation one year postoperatively with notable functional gains.
Congenital Talipes Equino Varus in Infants: Management By Ponseti Method and Outcome
Ponseti method is a safe, effective technique to treat CTEV which radically reduced the need for extensive surgery and enables this method to correct most idiopathic clubfoot with gentle manipulation, casting and percutaneous tenotomy.
Congenital clubfoot in children after walking age: management and evaluation of 41 feet with the dimeglio score.
This study reveals that CC can also be treated in older children by using a proper orthopedic, surgical and post-operative management and the Dimeglio score is useful, easy to use and relevant also in children over 1.5 years.
Attaining a British consensus statement on managing idiopathic congenital talipes equinovarus (CTEV) through a Delphi process: a study protocol
The consensus will follow an established Delphi approach aiming at gaining an agreement on the items to be included in the consensus statement for the management of primary idiopathic CTEV up to walking age.
Results of clubfoot treatment after manipulation and casting using the Ponseti method: experience in Harare, Zimbabwe
Evaluation of the outcomes of the Ponseti manipulation and casting method for clubfoot in a tertiary hospital in Zimbabwe and predictors of these outcomes are explored.


Family studies and aetiology of club foot.
Congenital club foot and talipes are used to describe various abnormalities of the foot in the newborn child. The most serious of these is talipes equinovarus in which there is plantar flexion of the
The association between clubfoot and developmental dysplasia of the hip.
An observational cohort study spanning 6.5 years of selective ultrasound screening of hips in clubfoot suggests that 1 in 17 babies with CTEV will have underlying hip dysplasia.
Outcome of prenatally diagnosed isolated clubfoot
To analyze the aneuploidy risk and treatment outcome of prenatally diagnosed isolated clubfoot, to determine the false‐positive rate (FPR) of ultrasound diagnosis and to calculate the risk of
Interventions for congenital talipes equinovarus (clubfoot).
There is a lack of evidence for different plaster casting products, the addition of botulinum toxin A during the Ponseti technique, different types of major foot surgery, continuous passive motion treatment following majorFoot surgery, or treatment of relapsed or neglected cases of CTEV.
Update on Pathologic Anatomy of Clubfoot
  • E. Ippolito
  • Medicine
    Journal of pediatric orthopedics. Part B
  • 1995
Serial histological sections in three planes (frontal, sagittal, and transverse) in four cases of clubfoot in fetuses aborted at 16–20 weeks were studied and compared to identical sections obtained in three normal feet, finding that skeletal components of the forefoot were adducted as a result of the medial displacement of the navicular and cuboid.
Prenatal ultrasound detection of talipes equinovarus in a non‐selected population of 49 314 deliveries in Norway
To evaluate prenatal ultrasound detection of talipes equinovarus (TEV) in a large non‐selected population and to study trends in detection rates over time, as well as the prevalence and outcome of
Limb length discrepancy in congenital talipes equinovarus.
  • D. Little, M. Aiona
  • Medicine, Biology
    The Australian and New Zealand journal of surgery
  • 1995
There was a weak but significant correlation between the number of operations undergone and the magnitude of discrepancy, and the tibia was as important in its contribution to the shortening in these patients as the foot.
Leg muscle atrophy in idiopathic congenital clubfoot: is it primitive or acquired?
This study shows that leg muscular atrophy is a primitive pathological component of CCF which is already present in the early stages of fetal CCF development and in newborns before starting treatment.
Neuromuscular Studies in Clubfoot
The fundamental pathology in rigid clubfoot appears to be a neuromuscular defect, and changes in the posteromedial, peroneal, and some intrinsic muscles at surgical correction of 13 clubfoot patients may be significant in the etiology of clubfoot.
Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet.
Noncompliance and the educational level of the parents (high-school education or less) are significant risk factors for the recurrence of clubfoot deformity after correction with the Ponseti method.