Management of Congenital Talipes Equinovarus by Saleem's Protocol
Congenital Talipes Equinovarus
About this trial
This is an interventional treatment trial for Congenital Talipes Equinovarus
Eligibility Criteria
Inclusion Criteria: Children with congenital idiopathic clubfoot Both male and female under 1 year of age Participiants who are willing to participate Exclusion Criteria: Childrens who suffer from neuropathy Childrens with syndromic club foot Childrens have done ponsetti before Childrens with foot drop Above 1 year of age
Sites / Locations
- Pakistan Society for the Rehabilitation of Diffrently Abled HospitalRecruiting
Arms of the Study
Arm 1
Experimental
Saleem's intervention
Early tenotomies and serial casting were used in Saleem's technique to reduce foot deforming forces. It involved 2 principal tenotmies and 2 accessory tenotmies. Principal tenotmies include tendo achillies and planter fascia release. 2 Accessory tenotmies include tibialis posterior and abductor hallucis. All tenotmies are done under local anesthesia.The foot is placed in a serial cast close to its natural anatomical position following tenotomies at first visit. children are evaluated after 1 week.This technique necessitates 4 to 5 casts on average. DB shoes were advised when the foot casting was finished, and a 6-month follow-up with the patient was conducted.