Clubfoot

kimytooby

Dear Parents,
Clubfoot is not new.But the awareness in Malaysia is very frustrating and also treatment of this deformities is not well-known in our country.
Here some info, for parents who has their children born with clubfoot. For details, please browse http://ponseti.info/parents/index.php.



What is Clubfoot?
Clubfoot, or talipes equinovarus, is a treatable birth defect that affects approximately 150,000-200,000 children each year.   When clubfoot occurs the foot is twisted inward and down, and this condition occurs during development in the womb. Physicians have observed that fetuses that develop clubfoot start with a normal foot and then the foot begins to turn inward around the third month.  Most children born with clubfoot are not missing any bones, muscles, or connective tissue. It is a congenital condition, meaning that when it occurs it is always present at birth. It is one of the most common congenital deformities. One or both feet may be affected and the affected feet can range from relatively flexible to stiff and rigid. The condition is not painful for the new born, though when a child gets to walking age, walking with an uncorrected clubfoot can be very painful and difficult, if not impossible.

When will you know?:
Parents will know at birth if their child has clubfoot because the foot will be twisted inward.  Some cases are diagnosed during a routine ultrasound. If you are wondering if your child has clubfoot, contact a physician who has experience in diagnosing this condition (not all pediatricians know how to diagnose clubfoot).

Causes:
Researchers do not know exactly what causes clubfoot. However, if either of the parents were born with clubfoot, their children are more likely to have it.

Treatment:
For years clubfoot has been treated by casting and/or surgery. Over fifty years ago Dr. Ignacio Ponseti developed a method for treating clubfoot that requires the use of over the knee casts and special protocol. The method consists of using a series of casts, gentle manipulation and the use of a special brace. This treatment is 95+% effective and it is the most cost effective treatment with no side effects. Treatment should start soon after birth.

Older Children:
Recent research has shown that the Ponseti Method is effective for children as old as ten, even in cases of failed surgery. Check out the PIA sponsored Philippines website to learn more about success stories of older children treated with clubfoot. You can also read stories written by parents of older children treated by the Ponseti method.

Clubfoot in developing countries:
Clubfoot is a serious problem in many developing countries. The majority of cases of clubfoot occur in these areas, about 80%, and there are high incidences of neglected clubfoot.  Neglected clubfoot limits the prospects of those living in developing countries as they often are unable to walk without great pain and do not have many job opportunities or the ability to carry out many daily tasks. The Ponseti method is very cost effective and various healthcare providers can perform the treatment making the Ponseti method a practical option for eradicating clubfoot around the world.

I am one of the parent who is frustrated with treatment given by Malaysian doctors. We went to Bangkok to get the best and certified Ponseti method Doctors to correct our daughter's feet. Now, our daughter's feet is far better than before.

We wanted to help to increase the awareness of this treatment and we want to console every one of us that this deformity can be corrected WITHOUT surgery.If your children is one of them, please PM me, I wish to help. I'm not from medical background but I'm trying very hard to get Ponseti Method to be practised among our Malaysian Orthopedics.

Thank you for reading.

[ Last edited by  kimytooby at 14-6-2008 11:02 AM ]

mongoose_kidz

clubfoot ni talipes kan???