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Year : 1976  |  Volume : 10  |  Issue : 2  |  Page : 127-131

Some Observations In The Treatment Of Congenital Club Foot


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V Chacko


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It is generally agreed that complete correction of congenital clubfoot by nonoperative treatment is the ideal. However, there are severe cases that rarely respond to non-operative treatment. The small inverted and elevated heel is considered to be the most important deforming influence in preventing complete correction, and in promoting relapse. Generally the treatment must begin at birth, and proper treatment is repeated manipulations with some from immobilization of the foot. The force and frequency with which the manipulations are carried out, and the method of primary fixation varies from surgeon. An attempt is made in this report to analyse the results of manipulative correction, and of the operative correction (using Brockman’s operative technique) by the same clinical team. The innumerable variations in the initial status of the foot, variations in the force required in manipulations, duration of immobilization, post-reduction management, and many other social and economic factors, which defy absolute standardization is recognised. Nevertheless, a few important points observed in this clinical analysis are considered worth reporting.


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