Clubfoot

Alternative names:

talipes; talipes equinovarus

Treatment:

Treatment should be initiated as early as possible.

Clubfoot deformities may be corrected by manipulating the foot into a correct position, and casting the foot to maintain the correction. This is often done by an orthopedic specialist. The treatment is started early in the newborn when the foot is easiest to reshape. Repositioning and recasting occurs every few weeks to improve the position of the foot. After the shape of the foot is realigned, it is maintained through exercise, splints at night, and orthopedic shoes. Correction using this approach takes about 3 months.

Some severe deformities will require surgery if manipulation does not achieve correction. Continued evaluation is recommended until the foot is fully grown.

Expectations (prognosis):

The outcome is usually good with treatment.

Complications:

Some defects may not be totally correctable, but with treatment the appearance and function of the foot can be improved.

Calling your health care provider:

If treated for clubfoot, call your health care provider if swelling, bleeding, or infection occur under the cast; or if muscle pulling returns after treatment.