Amputations and prosthetics basics, clubfoot management
Orthopedics · MBBS
Study notes
A 3-week-old baby boy is brought to the orthopedic clinic. The parents are worried because the baby's feet look 'twisted' inward. During the examination, the doctor notices the baby's foot has a very high arch (Cavus), the toes are pointing toward the middle (Adductus), the heel is tilted inward (Varus), and the foot is stuck pointing down (Equinus). The doctor explains that this is Congenital Talipes Equinovarus (Clubfoot). The management plan is to start the Ponseti method, which involves weekly plaster casts to slowly stretch the foot, followed by a small procedure to release the tight Achilles tendon, and finally wearing a brace to keep the feet straight.
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