Its incidence is nearly 1 in 1000 live birth. It is a congenital deformity of the foot. In which the newborn 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 sometimes this problem can be a part of a syndrome.
CTEV Treatment starts as a child born. Very mild & postural ctev can be managed by oil massage at home. But other varieties need manipulation and plaster application. Ponsetty methods of manipulation and plaster application are the universal methods of treatment in ctev. In this method, repeated manipulation & plaster application at 1 week to 10 days intervals are being done in a specific pattern 5-6 time. In the last percutaneous heel card, tenotomy is also required. A child needs to wear an abduction CTEV Brace minimum for 2 years. Constant watch on the progress of foot position is very important. If properly managed, then less than 5% of children will have a recurrence. Recurrence is seen only in very stiff foot. In spite of recurrence, early identification and reapplication of the same principle will again manage the recurrence of deformity. With the use of ponsetty plaster technique, the foot will be supple, painless and scarless. 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 a pediatric orthopedic surgeon for better treatment. Treatment in best hand give good outcome.
Link to complete information on CTEV: https://youtu.be/b-z3P6JDctU
Dr. Jitendra Kumar Jain is a famous name in the field of childhood physical disability pediatric orthopedic problems in North India. He has been an MS Orthopedics, DNB Orthopedics, Pediatric orthopedic surgeon & also a cerebral palsy specialist for over 21 years.