Concluded Case

Orthotics management of Club Foot or CTEV deformity.

Today parents brought their 5.5 years old child to my clinic for Orthotics management of CTEV deformity. Our team take assessment and taken cast in maximum corrective position. Chief Complaints Child born with Left Foot Congenital Telepes Equinovarus Deformity . At the age of 1.5 year Tendo Achilles tendon released. Before surgical procedure. Orthopedist done serial cast to correct deformity for several months interval of 15 days. But deformity was still there. So surgical procedure done after . Parents followed the instructions and used Corrective splint. So deformity still as Five years before. Physical Examination Still hind foot and mid foot in varus. There is more pescavus position. TA shortening present. Less Dorsiflexon. Patient present Genu recurvattum also affected side as during walking with cast. Management According to label of deformity our team decided CTEV corrective Dynamic Ankle Foot Orthotics management with high medial wall to stop eqinus and provide maximum eversion and external rotation of fore foot as well internal rotation of hind foot.

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It was very old procedure and successful process to give a normal life and gait in congenital anomalies Equinovarus Deformity . Congratulations

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It was very old procedure and successful process to give a normal life and gait in congenital anomalies Equinovarus Deformity . Congratulations

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Nice

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Nice

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SIR YOU VERY WELL DIAGNOSIS AND SKILLED WORK @Narendra Kumar

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Is the child having only CTEV or left hemiparesis ? Any left sided weakness ?

Only CTEV not hemiparesis.
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THANKS FOR SHARING , SIR

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Go for continue with use AFO regularly with good physio passive stretching with good physio management follow regular with child grow up till

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It's relapsed CTEV condition, though the child age is much advanced for night splinting, still he could be prescribed with either boot and bar type (S B brace) or unilateral dynamic modified KAFO. One clear rationale is that bony growth occurs mainly during night time!! Regarding the AFO use, it affects the ankle motion and thereby the calf atrophy results, so that it should be minimised to just above the ankle for better compliance. The therapeutic stretching should be included more seriously in the morning and at evening. @Dr. Narendra Kumar

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बहुत खूब सर जी।

Need good physio exercise protocol

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