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The term "clubfoot" describes a number of anomalies in the structure of the foot, which are usually congenital. It is a common disorder, usually present in the overall health of the child. Clubfoot can be mild or severe, it is striking how one or both legs. Because it can slow down the development of the child, when he begins to learn to walk, it is generally recommended to start treatment of clubfoot soon after birth.
In most cases of clubfoot foot deflected inwards and downwards, because of which the arch of the foot becomes higher. Calves on the foot with this disorder are usually underdeveloped. In addition, stop, struck clubfoot, can be up to one centimeter shorter than the healthy foot. However, despite all this, clubfoot itself does not cause any discomfort or pain.
In most cases, the child's doctor says it is a violation and he offers to undergo treatment.
The reasons are unknown clubfoot (the so-called idiopathic disease). It is known that toed not related to the position of the fetus in the uterus. In some cases of clubfoot in children with other skeletal malformations such as spina bifida, a serious birth defect that occurs when the tissue surrounding the developing spinal cord of the fetus does not close properly.
- Paul. Clubfoot is more common among men;
- Family history. If the mother, the father or that of their previous children born had clubfoot, there is a significant likelihood that it will have the following children;
- Smoking during pregnancy. If a woman, whose family history of clubfoot, smoking during pregnancy, the likelihood that it will be a violation of her child, twenty times higher than the average.
Clubfoot does not usually cause any problems as long as the child begins to stand and walk. Later, however, if left untreated, clubfoot can become a heavy burden. This disorder increases the risk of arthritis
Arthritis - a variety of forms and complications
; unusual appearance of the foot and gait characteristics associated with clubfoot can lead to various psychological problems in adolescence.
Most often, doctors detect clubfoot soon after birth or in the first months of life. The degree of deformity was evaluated by X-rays. Sometimes toed already noticeable at ultrasound during pregnancy.
Since the bones and joints of the newborn are very flexible clubfoot usually begins shortly after birth. The goal of treatment is to restore the appearance and functionality of the foot before the child begins to learn to walk, in the hope of preventing long-term disability.
One of the most common methods of treating clubfoot - Ponseti technique. In the first step foot deformities corrected with casts. They vary, depending on the characteristics of the patient, every week or every few weeks. When you reach the desired result, the child will have to wear special locking device. It is necessary to stop has not returned to its original position. The whole course of treatment can last up to three years.
In some cases, when the clubfoot can not be conservative methods of treatment, it is corrected by means of surgical methods. Surgeon lengthens the tendons of the foot, the foot that took normal form. After surgery, the child will have about a year to wear the locking device and / or orthopedic shoes
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As a rule, timely treatment can not correct the clubfoot and the child in the future, is a full active life.