[Conservative treatment of clubfoot: the Functional Method and its long-term follow-up].
Despite the presence of a considerable number of papers published in the international literature, talipes equinovarus keeps its secrets. Conservative methods of treatment are currently accepted as advantageous over surgery. Prediction of the future of a clubfoot after treatment is not possible, for this reason, a long-term follow-up is needful. A true Functional Method based solely on gentle manipulations has been used for more than thirty years. Its aim is to correct the deformity and to allow the child to walk without delay. The principle of this method is to distract joint contractures prior to progressive correction of the deformity. No selection is made regarding the severity of the deformity and its etiology. Family plays an important role in performing routine manipulations at home. Concerning this Functional Method, three main series have been published by our team, with excellent-good results accounting for up to 77%. We believe that our Functional Method of conservative treatment of clubfoot is an appropriate way for correction of the deformity and its stabilization.
Bensahel
Henri
H
Hospital Robert Débre, Paris, France. henriben@noos.fr
Jehanno
Pascal
P
Delaby
Jean-Pierre
JP
Themar-Noël
Christine
C
D002648:Child; D003025:Clubfoot / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008349:Manipulation, Orthopedic