New born baby has this demormity by birth. Name the deformity and its management.



This is bil. Telipes Equinovarus also knownas club feet. Etiology not known mild degrees are common in breech presentations. Normally in the new born the ankle movements are so free it is possible to Doris flex the foot and touch it to the shin. But in club foot it is not possible. In mild cases manupilation by pressing the foot upwards and outwards tobe daily,and mother shouldbe taught to do it while feeding the baby. If not satisfied the foot shouldbe splinted or plaster casted with periodic check up.In refractory cases surgical interference is needed by way of medial soft tissue release of the ankle joint with surgical release and lengthening of the contracted tendons of Flex. HallucisTibialis . with applications of Dennis Brown Splint daily till the child starts wt. bearing and walking. In neglicted rare cases correctI've osteotomy and wedge resection may be needed

CTEV bilateral Passive stretching by mother for 6 weeks After that two weekly corrective casting At one year the residual deformity can be corrected surgically Bracing after that to maintain correction Mild cases foot wear modification enough after surgery

Congenital talipes equinovarus Treatment ponsetti method

Congenital Talipes Rquina varies of both foot, Severe degree, Neefs Surgical corection. Dr Brahmananda. Pefiatrician.

CTEV Bilateral

Treatment Gentle massage Serial plasters Serial Castings If no response, consult Orthopedic Surgeon for surgical Correction.

t/t is at early stage plaster cast

Bilateral talipes equinus varus.

Dr.Ahirwar Name of deformity B/ L club foot. Operative treatment requires posterio medial soft tissue release operation and arthodesis if required in later presentation. Physiotherapy treatment can be started immediately after birth in form of posterior medial stretching manures.can be taught to mother. corrective repetitive casting helps. CTEV splints at night and corrertive shoes as and when the subject starts walking.

Kindly also evaluate the neurology of the lower limbs, hips for DDH, spine for bifida and any dysmorphism.

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