The Treatment of Congenital Club Feet
In this discussion no attempt will be made to present a review of all the aspects of the treatment of congenital club feet, but treatment of the early cases will be discussed and a method described for correction of this deformity.
Early diagnosis and prompt initiation of treatment are essential. Although the foot of an infant does not have the contour of that of an older child, very mild elements of deformity can easily be recognized by close examination and by putting the foot through ranges of motion, both actively and passively. Active movements of the foot of an infant can be observed very easily by gently stroking the inner and plantar aspects. The foot will be drawn away from the stimulus and the active range of eversion and dorsiflexion can be estimated. The foot of the normal infant is quite flexible and can be put through wide ranges of motion both actively and passively.
If treatment is begun early while the foot is flexible and composed mainly of cartilage, at least 95 per cent of the cases can be corrected by manipulations and molding alone, and if the foot is held in the corrected position for a sufficiently long period of time, cure can be effected. The logical time to start treatment is that period between birth and the time the child begins to walk. Weight bearing in the corrected position tends to maintain correction and promote normal growth. Weight bearing in the uncorrected position increases the deformity and. . .