Yes. Children born with CTEV can live a normal life. With timely intervention & proper use of brace under strict guidance, most of the feet can became nearly normal looking feet. In future, fully treated CLUB feet don’t give any problem. Child will not have any disability. They can run, jump, walk and wear shoes as they want. They can enjoy their life as per their wish. With Less than 5% can have recurrence with modern care but still this recurrence can also be managed nicely again by ponsetty technique. If treated right after birth, this condition does not even require surgery for correction.

Its incidence is nearly 1 in 1000 live birth. It is congenital deformity of foot. In which the new born feet point medially & downward, with deep medial creases. Deformities can be mild to severe. It can affect one or both feet.  Most of the time causes are not known. But some time these problem can be a part of syndrome.

CTEV Treatment start as child born. Very mild & postural ctev can be managed by oil massage at home. But other variety need manipulation and plaster application. Ponsetty methods of manipulation and plaster application is the universal methods of treatment in ctev. In this method, repeated manipulation & plaster application at 1 week to 10 days interval are being done in specific pattern for 5-6 time. In last percutaneous heel card tenotomy is also required. Child need to wear abduction CTEV Brace minimum for 2 years. Constant watch on progress of foot position is very important. If properly managed, then less than 5% children will have recurrence. Recurrence are seen only in very stiif foot. In spite of recurrence, early identification and reapplication of same principal will again manage the recurrence of deformity. With the use of ponsetty plaster technique, foot will be supple, painless and scar less. Results are always good. Rate of complication is very-2 less.

Surgery are rarely needed in CTEV as a supplement to Ponsetty technique of manipulation. Earlier before the use of ponsetty technique, surgery was the common method of treatment in cerebral palsy but with success of plaster technique use of surgeries are now days are rare.  In surgery tendon lengthening, percutaneous tenotomy, tendon transfer & bone surgery are the common one.

Parents need to identify it earliest and visit to pediatric orthopedic surgeon for better treatment. Treatment in best hand give good outcome.

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