Talipes Equinovarus (Clubbed foot)

It is a congenital deformity involving one or both feet. The affected foot appears rotated internally at ankle. The person appears to walk on their ankles. Approximately 50% are bilateral. It occurs commonly in female i.e. 2:1

Causes:

·         Edward syndrome (extra chromosome on 13 number)

·         Ehlers danlos syndrome (disorder of connective tissue involving deficient or abnormal collagen)

Management:

a.    Tenotomy:

Need in 80% cases

b.    Anterior tibial tendon transfer:

The tendon is moved from first toe to 3^rd in order to release inward traction on foot.

c.    Ponsiti method:

It is a conservative approach in which serial cast applied over 4 weeks then Mini incision in Achilles tendon.

Physiotherapy