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Published on: January 24, 2018
Current treatment of clubfoot in infancy and childhood
B David Horn1, Richard S Davidson
1Department of Orthopaedic Surgery, The University of Pennsylvania School of Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. HORND@email.chop.edu
Insights
Clubfoot, a common congenital anomaly, is increasingly treated with less invasive methods. However, challenges persist with residual deformity and pain following surgical correction, impacting orthopedic care.
Area of Science:
- Orthopedics
- Pediatric Medicine
- Congenital Anomalies
Background:
- Clubfoot is a prevalent congenital anomaly in newborns and children.
- Recent advancements are improving understanding of clubfoot etiology.
- Traditional surgical treatments for clubfoot can lead to long-term issues.
Purpose of the Study:
- To review the evolving treatment landscape of clubfoot.
- To highlight challenges associated with surgically corrected clubfoot.
- To inform orthopedic surgeons on current diagnostic and therapeutic strategies.
Main Methods:
- Literature review of recent studies on clubfoot treatment.
- Analysis of trends in surgical versus non-operative interventions.
- Examination of outcomes and complications in clubfoot management.
Main Results:
- A significant shift towards less invasive treatment approaches for clubfoot.
- Persistent challenges with residual deformity and pain post-surgery.
- Ongoing need for effective diagnostic and therapeutic solutions.
Conclusions:
- The treatment of clubfoot is evolving towards less invasive methods.
- Surgical interventions for clubfoot can result in persistent complications.
- Further research is needed to address residual deformities and pain in clubfoot management.
Abstract:
Clubfoot is one of the most common congenital anomalies seen in newborns and children. Although the cause is unknown, strides have recently been made in uncovering the etiology causes of clubfoot. In the last decade, the treatment of clubfoot has undergone a significant change with a shift away from extensive operative intervention to a less invasive approach. Long-term residual deformity and pain from surgically corrected club feet still continues to occur and presents diagnostic and therapeutic challenges for the orthopedic surgeon.
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