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PES EQUINOVARUS (CLUB-FOOT)
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It is one of the more severe
deformities that can be detected in a baby´s foot. The foot is
completely turned inside.
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One simple way
to test the severity of the case is checking the degree of rigidity. The
minor cases (bad postures) are very flexible, but the severe ones (congenital
malformations) are very rigid.
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In all cases
the treatment must be done early.
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With a good treatment the diagnosis
is good in reference to the function of the foot.
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Although, the foot will always remain
smaller, the leg a little bit thinner and possible shorter.
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 Manipulations |
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During the first month we will do
manipulation sessions one or two times a week, with the intention to
soften the tissues and to make the feet more flexible.
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Afterwards, we will proceed to
bandage the foot. This bandage must be checked closely by the parents
and they must remove it in case it provokes pain. This is known as
Hauser´s bandage.
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Other schools prefer the placement of
plaster, but we absolutely prefer the bandage because it doesn’t present
any danger to he bone’s injury and it is more progressive.
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Hauser's bandage
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BEBAX
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After a month, if the foot is quite
flexible, we proceed to place an orthopaedics device type “Saint
German’s splint or Dennis-Brown´s device, also- in minor cases- bebax
type little boots.
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If the foot doesn’t give away, it
will require surgical treatment. If we have worked a lot with the feet
since the beginning, maybe making an extension of Achilles´ tendon, the
case might be solved.
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If the foot continues being very
rigid, we will have to do a more extensive intervention. (Codivila´s
intervention or “Medial release”).
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After the intervention, the child
must wear a plaster cast during three or four weeks.
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After we remove the plaster cast, we
will go back to the orthopaedics devices until the total correction of
the deformity.
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ACHILLES´ EXTENTION |
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PES EQUINOVARUS (CLUB-FOOT)
PRESENTATION |
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