[Congenital clubfoot].
Owing to the relatively high incidence of this condition (2 in 1,000 neonates) and the poor functional outcome of inadequate treatment, clubfoot represents a major clinical problem. Although its etiology is not fully known, modern three-dimensional analyses have led to a better understanding of the pathomorphology and provide a new basis for a differentiated therapeutic strategy. Of central importance is early diagnosis and immediate postpartum initiation of primarily conservative treatment taking the form of intensive redressment measures. Depending on the residual deformity, an appropriate surgical procedure aimed at achieving complete correction should be done between the age of 4 to 6 months. To ensure a lasting positive outcome, rigorous follow-up physiotherapeutic treatment and close surveillance are essential.
Burgkart
R
R
Klinik für Orthopädie und Sportorthopädie, Technische Universität München. r.burgkart@lrz.tum.de
Lampe
R
R
Gerdesmeyer
L
L
Gradinger
R
R
D000367:Age Factors; D002648:Child; D003025:Clubfoot / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010808:Physical Examination; D026741:Physical Therapy Modalities; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome