Club foot or clubfoot, is a term for the medical condition congenital talipes equinovarus (CTEV). It is a congenital deformity involving one foot or both. It is relatively common, affecting around one in every 1,000 babies born in the UK. Both feet are affected in around half of the children born with the condition. The affected foot appears to have been rotated internally at the ankle. The foot points downwards and inwards, with the soles of the feet facing backward.
Without treatment, people with club feet often appear to walk on their ankles or on the sides of their feet.
While a baby is young, there is a natural flexibility that can be utilised to get things back to where they belong. In most cases the foot will respond well to conservative correction using the Ponseti method which involves manipulation, serial casting and a very small procedure to release the tight Achilles tendon at the back of the ankle. There follows a long period of maintenance of the corrected position of the feet, traditionally this has been achieved with what is called the boots and bar approach. LOC is pioneering a the use of a different brace in this final phase of treatment – the Cunningham Brace.
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