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Update on Clubfoot: Etiology and Treatment

Authors
  • Dobbs, Matthew B.1, 2
  • Gurnett, Christina A.1, 3
  • 1 Washington University School of Medicine, Department of Orthopaedic Surgery, One Children’s Place, Suite 4S60, St. Louis, MO, 63110, USA , St. Louis (United States)
  • 2 St. Louis Shriners Hospital for Children, St. Louis, MO, USA , St. Louis (United States)
  • 3 Washington University School of Medicine, Department of Neurology, St. Louis, MO, USA , St. Louis (United States)
Type
Published Article
Journal
Clinical Orthopaedics and Related Research
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Feb 18, 2009
Volume
467
Issue
5
Identifiers
DOI: 10.1007/s11999-009-0734-9
Source
Springer Nature
Keywords
License
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Abstract

Although clubfoot is one of the most common congenital abnormalities affecting the lower limb, it remains a challenge not only to understand its genetic origins but also to provide effective long-term treatment. This review provides an update on the etiology of clubfoot as well as current treatment strategies. Understanding the exact genetic etiology of clubfoot may eventually be helpful in determining both prognosis and the selection of appropriate treatment methods in individual patients. The primary treatment goal is to provide long-term correction with a foot that is fully functional and pain-free. To achieve this, a combination of approaches that applies the strengths of several methods (Ponseti method and French method) may be needed. Avoidance of extensive soft-tissue release operations in the primary treatment should be a priority, and the use of surgery for clubfoot correction should be limited to an “a la carte” mode and only after failed conservative methods. Level of Evidence: Level V, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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