Clubfoot Treatment in Gurgaon, Delhi

Welcome to our Young Bones Clinic.

Parents with babies having clubfoot need to take extra care of their child.

At Young Bones Clinic, our dedicated orthopedist in Gurgaon, Delhi is an expert in providing effective clubfoot treatment for people in and around Gurgaon, Delhi.

In this article, we will explain everything about clubfoot.

What is Clubfoot

Clubfoot is a congenital deformity in which an infant’s foot is twisted out of shape inward or upward. It is the most common deformity of the bones and joints in newborns.

It can be mild or severe and occur in one or both feet.

Approximately one newborn in every 1,000 live births will have clubfoot.

In clubfoot, the tendons that connect the leg muscles to the foot bones are short and tight, causing the foot to twist inward.

The cause of clubfoot (idiopathic type) is not exactly known, but it is most likely multifactorial and no single reason has been identified.

Clubfoot deformity in newborn

Clubfoot is a completely treatable foot deformity when managed early

Risk Factors Include:

Clubfoot risk factors

Maternal and paternal smoking, low amniotic fluid, and first pregnancy are known risk factors

Clubfoot risk factors illustration

Risk factors do not confirm the condition, but they increase the likelihood of clubfoot

How is Clubfoot Diagnosed?

It can be easily detected in the womb after 20 weeks of pregnancy by ultrasound.

Most cases are detected at birth on clinical examination.

The specific components of the foot deformity make the diagnosis easy by the pediatrician or pediatric orthopedic surgeon.

Is Clubfoot Treatable?

Yes. It is a completely treatable deformity. In most cases, parents should not worry if their baby is detected with clubfeet at or before birth.

With timely intervention at birth and with sequential plasters, the child ends up having normal feet without any functional limitations.

The key is early treatment starting 5 to 7 days after birth. It is successful in 95% to 98% of children and usually does not require any extensive surgical correction.

Who Treats Babies with Clubfoot?

A trained pediatric orthopedic surgeon is the best doctor to treat this condition.

At Young Bones Clinic, we have a well-trained and qualified pediatric orthopedic surgeon in Gurgaon, Dr. Ratnav Ratan. He is one of the best surgeons for clubfoot treatment in Gurgaon, Delhi with more than 13 years of experience. He pays complete attention to smaller details to avoid complications and get normal, painless feet until the child starts walking.

Clubfoot Treatment in Gurgaon, Delhi

At our clinic, most clubfoot cases are successfully treated with non-surgical methods that include a combination of initial stretching, weekly casting, and finally bracing.

Stretching

Stretching for clubfoot

Gentle and slow movements and stretches of the foot help to move the abnormal foot into the correct position.

Casting

Casting for clubfoot

A baby wears a plaster cast that gently moves the abnormal foot into the correct position.

Bracing

Bracing for clubfoot

It is a device that consists of two boots connected to a metal bar. It is fixed on the foot to keep it in the correct position.

The Ponseti Technique

Ponseti technique is the most widely used technique in the world. It uses gentle stretching and casting to gradually correct the deformity.

It is an effective method for all types of clubfeet as the initial non-surgical treatment.

Step by Step Procedure of the Ponseti Technique

  • The baby’s foot is gently stretched and manipulated into a corrected position and held in place with a long-leg cast from toes to thigh.
  • Each week, the process of stretching, re-positioning, and casting is repeated until the foot is mostly improved. For most infants, this takes about 6 to 8 weeks.
  • The next phase involves a minor procedure to release continued tightness in the Achilles tendon in 90% of babies. This procedure is called a tenotomy.
  • A new cast is then applied to protect the tendon as it heals, which usually takes about 3 weeks.
  • The Achilles tendon regrows to a proper, longer length, and the cast is then removed.
  • Once the final cast is removed, the baby wears special boots connected with a metal bar for 3 months, followed by nighttime and nap-time bracing for around 4 years.

This technique is highly successful for children with clubfoot in Gurgaon, Delhi, and avoids extensive surgeries. The goal is to obtain a functional, pain-free foot that enables standing and walking with the sole area of the foot on the ground.

Post-Treatment Care at Home

Parents will need to continue doing stretching exercises with their babies.

Babies might be fussy during the first few days of wearing a brace and will need time to adjust.

Adhering to the prescribed usage guidelines for the special boots is extremely important. Not following the guidelines correctly is the most common cause of failure of this treatment method.

Will Surgery Be Required?

Surgery may rarely be required in cases where:

  • The foot is stiff and prone to relapse
  • Secondary clubfoot in a syndromic child
  • Neuromuscular disorders
  • Untreated clubfoot
  • Failure in responding to Ponseti treatment

A tendon transfer is most frequently required if the child is showing signs of a hyperactive tendon, causing inward movement of the feet while walking.

Risks Associated with the Technique and Overall Outcome

The technique is safe, provided the critical steps are diligently followed.

  • Sometimes plaster sores can happen in babies with sensitive skin or too much correction in the stiff foot. It is usually managed with antibiotics and temporary cast removal.
  • Non-adherence to the critical steps in the Ponseti technique may lead to a rocker bottom foot or an iatrogenic complex clubfoot.
  • Sometimes bleeding can happen after the heel-cord-cutting procedure and can be easily managed.

With appropriate treatment, the child should have a nearly normal foot, and he or she can run, play, and wear normal shoes.

The affected foot is usually 1 to 1.5 sizes smaller and somewhat less mobile than the normal foot.

The calf muscles in the child’s clubfoot leg may also remain smaller, so the child may complain of sore legs or getting tired sooner than peers.

The affected leg may also be slightly shorter than the unaffected leg, but this is rarely a significant problem.

Book an Appointment

Book an appointment with our surgeon in Gurgaon if you are concerned about your child’s clubfoot.