Talipes Disorder

( Clubfoot )
Talipes Disorder
 Talipes is formed from the Latin talus (“ankle”) and pes
(“foot”).
 Ankle-foot disorder, popularly called CLUBFOOT.
 Surgery is not usually needed to correct the foot
deformity.
 Approximately 1 child in every 1,000 is born with a Talipes
disorder.
 It occurs more often in boys than in girls.
 It probably inherited as a polygenic pattern, and usually
occur unilateral problem.
Talipes Disorder
Talipes Disorder
A true talipes disorder can be one of four separate types:
 Plantar flexion-an equinus or “horse foot” position with
the fore foot lower than the heel.
 Dorsiflexion-the heel is held lower than the forefoot or
the anterior foot is flexed toward the anterior leg.
 Vargus deviation-the foot turns in.
 Valgus deviation-the foot turns out.
Combination of this two Equinovarus or a calcacneovalgus
disorder-a child walks on the heel with the foot everted.
Talipes Disorder

ASSESSMENT:
The earlier a true disorder is recognized, the better will be the
correction .
Make a habit, therefore, of straightening all newborn feet to the initial
assessment to detect this disorder.
Talipes Disorder
THERAPUTIC MANAGEMENT:
Correction is achieved best if it is begun in the newborn period.
Ponseti method-a series of cast or braces are applied to gradually mold
the foot into good alignment. Preferred treatment by orthopedic
surgeons throughout the world.
In Ponseti method you must check for:
 Change diaper frequently
 Check the infant’s toes for coldness or blueness to assist good
circulation
 Evaluate crying episodes
 Cast must change every 1 or 2 weeks
Approximately 6 weeks (depending on the extend of the problem) the
final cast will removed.
Talipes Disorder

PONSETI METHOD
Talipes Disorder
Following this the infant may have to sleep in Denis browne splints
(shoes attached to metal bar to maintain position) or high top shoes at
night for few more months to ensure an effective correction.

DENIS BROWNE SPLINTS

Talipes Disorder

PROGNOSIS:
Although a successful correction cannot be guaranteed, the
prognosis for a full correction is good. For children who do
not achieved correction by casting, additional surgery is yet
anther option to achieve a final correction.