Although it seems to be a simple deformity on the surface, there are many problems in the treatment of clubfoot, and there is no unanimous treatment opinion. So far, the widely used treatment is conservative therapy. Early conservative treatment should start immediately after birth and should not exceed 1 week after birth. The principles of treatment are as follows: Repeated manipulations (first correct adduction and inversion, and finally correct sagging) to completely or excessively correct deformity; Keep the foot in an over-corrected position with plaster or Denis-brown until there is no tendency of deformity recurrence. If the above treatment method is used for 3 months, if the foot is still abnormal according to clinical examination and X-ray photos, surgery should be adopted. Cut off all tight ligaments of ankle joint and medial foot, and lengthen any tendon that prevents foot deformity from being completely corrected, including Achilles tendon. Finally, the tarsal bone was liberated and the normal relationship was restored. Special attention should be paid to the position of humerus and scaphoid. After operation, it was fixed with plaster for 2-3 months. Surgical methods: There are five kinds of operations for children aged 2- 12, which can be applied as appropriate: (1) separating the soft tissue of the medial segment of the foot, then forcibly correcting the eversion of the foot to the plantar position and fixing it with plaster for 3 months; ⑵ Transfer the anterior tibialis tendon or posterior tibialis tendon to the lateral dorsum of the foot and cross the interosseous membrane to the lateral dorsum of the foot to strengthen the function of eversion muscle; ⑶ Prolonging Achilles tendon; ⑷ Take a bone from the calcaneus joint to shorten the outer edge of the foot, and fuse the calcaneus joint1961by Evans method; 5] When calcaneus varus is obviously deformed, calcaneus osteotomy is performed, and wedge-shaped bone pieces are inserted inside calcaneus to correct Dwyer method. /kloc-Children over 0/2 years old must undergo orthopedic surgery: take out a wedge-shaped bone block with a proper size (the base is on the lateral side) on the tarsal bone, evert the dorsum of the foot to close the gap after osteotomy, and correct the foot to the plantar position. /kloc-children under 0/2 years old should not use this operation because it will hinder the growth of their feet.

What is clubfoot?

It is a congenital clubfoot brought from the uterus. One is caused by diseases and other factors after birth, which is called acquired clubfoot. The former may be related to the pressure of the fetus in the uterus, or the mother may be exposed to some toxic chemicals, take some drugs, or be infected with some viruses, which leads to the embryonic development stagnation. This condition is usually related to malformations of other organs, such as spina bifida. As for the latter, it may be muscle dysplasia, which leads to unbalanced muscle strength or abnormal tendon attachment.

This kind of deformed foot generally has three characteristics, that is, adduction of forefoot, varus and drooping of whole foot, which can be found soon after birth.

Corrective method:

For congenital patients, it is best to teach parents to massage the sick foot several times a day, correct the adduction and varus of the forefoot by hand, and fix it in the corrected position with adhesive tape on the basis of protecting the skin with benzoic acid tincture. Children over 6 months should use plaster to correct their deformities. If the manual correction is not ideal, the soft tissue release of the sole and medial foot should be adopted, and the operation should be carried out within 1-2 years old. If we miss this opportunity, those who need bone surgery will wait until 10- 12 years old.