Pediatrics & Therapeutics
Open Access
ISSN: 2161-0665
+44 1478 350008
ISSN: 2161-0665
+44 1478 350008
Meyebe Mukalamusi
Queen Mamohato Memorial Hospital, India
Posters & Accepted Abstracts: Pediatr Ther
Congenital talipes equinovarus is the commonest congenital anomaly with an incidence of one to two per 1000 live births. Over the centuries it has been treated by various modalities, but the dilemma facing the surgeon has been a strong tendency to relapse. With the use of the Ponseti technique, the number of patients who undergo soft tissue release has decreased. This technique probably represents a panacea for the treatment of this unsolved mystery. Clubfoot is one of the most common congenital orthopedic anomalies and was described by Hippocrates in the year 400 BC. However, it still continues to challenge the skills of the pediatric orthopedic surgeon as it has a notorious tendency to relapse, irrespective of whether the foot is treated by conservative or operative means. Part of the reason that the foot relapses is the surgeon's failure to recognize the underlying pathoanatomy. Clubfoot is often automatically assumed to be an equinovarus deformity; however, other permutations and combinations, such as calcaneovalgus, equinovalgus and calcaneovarus, are possible. Out of these four combinations, calcaneovalgus occurs most frequently, followed by equinovarus deformity. The equinovarus deformity is classified into congenital and acquired. The congenital is further classified into idiopathic and non-idiopathic types. This review will concentrate on the treatment of the idiopathic equinovarus deformity, which will be referred to as clubfoot. Our study aimed to assess the management of CTEV provided at Queen Mamohato Memorial Hospital; unique and main referral hospital of the Kingdom of Lesotho situated in the Capital city, Maseru. In this study, we identified cases of CTEV treated as referrals from the districts and cases coming locally from Maseru. We picked up the technical, cultural and socio economic challenges that influence the outcome of the management of this congenital deformity. Methodology: A retrospective and prospective approach has been proposed to identify old and new cases of CTEV; physical and telephonic means are used to enquire from patients and relatives about the follow and outcome. Our outpatient orthopaedic clinic was an important tool for the direct assessment of the patients. Findings: The mild cases of CTEV present good outcome with conservative management, cases of bilateral CTEV are more frequent, moderate cases require more attention but give at long term a similar outcome, severe cases require surgical corrections, the parents or relatives participation and the social and economic grounds influence also the outcome; there is often a discouragement from the relatives in the long term follow-up of CTEV patients.
E-mail: odnanahsihsamoc.liamffider@ohtr.com