The Clubfoot Revisited

by Sureshwar Pandey, Anil Kumar Pandey

The clubfoot, perhaps, the commonest congenital deformity of the skeletal system, is most likely as old as mankind. In spite of advancements in all around arena of the medical sciences, the incidence of clubfoot is not decreasing, rather appears to be on increase in certain regions of the globe. This problem is probably waiting for the advanced interventions, through the genetic engineering, to go. The methods of management of clubfoot hover around manipulation, massage, physiotherapy, splintage, strapping, manipulative plaster casting, soft tissue release (limited or extensive) operations, tendon transfers, various osteotomies, correction by external fixators, stabilization of joints and so on. Whatever may be the method (original or modified), none can claim the perfect, lasting cosmetic and functional results on overall considerations. The whole text has been divided into 15 chapter consisting of History aspect and aetiology of clubfoot, its pathology, classification, investigations, management, minimally invasive cast correction of clubfoot (MICC), revision surgery, equinocarovarus foot, physiotherapy and rehabilitation programs for clubfoot patients, etc.

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