Key words: Congenital club foot, Classification, Conservative management
Club foot (also called talipes equinovarus) is the commonest foot congenital malformation.
It affects 1-2/1,000 of live births, showing a ratio M:F of 2:1 and a predominant
distribution in the developing countries (80%). It is a complex and bilateral deformity in
50% of cases. Affected children will not walk physiologically and live a normal life
without a proper treatment. Over the last decades corrective solutions with different degrees
of invasiveness have been proposed. In particular, the surgical treatment of club
foot may lead to complications and to the final result of a foot that hardly has a complete
functionality also because of retractions and surgical scars. In the last decades scientific
evidence has definitively confirmed the effectiveness of the Ponseti non-invasive
method based on manipulation, plaster casts, percutaneous Achilles tenotomy and stabilisation
of the foot using a brace.
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