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Congenital Talipes Equinovarus (Clubfoot)

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Orthopaedics for the Newborn and Young Child

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Abstract

Isolated congenital idiopathic talipes equinovarus (TEV), or clubfoot, is the most common foot anomaly that involves all the tissues below the knee. It occurs in 1–2 out of 1000 live births. It is recognized on initial physical exam by the lower extremity’s classic position with the hindfoot in equinus (plantarflexed) and varus (inverted) and the forefoot in cavus (high arch) with adductus of the forefoot. The standard of care for initial management is the Ponseti method which involves serial manipulation and casting followed by Achilles tendon release. Nonadherence to the bracing regimen plays a major role in recurrence of the deformity. The majority of affected children have excellent long-term outcomes, though some children will need additional surgeries for recurrence.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Children’s Hospital of Los Angeles, Los Angeles, CA, USA

    Melissa A. Bent

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  1. Melissa A. Bent
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Correspondence to Melissa A. Bent .

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Editors and Affiliations

  1. Feinberg School of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    John F. Sarwark

  2. Feinberg School of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Rebecca L. Carl

Electronic Supplementary Material

Should say Video of percutaneous achilles tenotomy. Used with permission of the Children’s Orthopaedic Center, Los Angeles (MP4 12702 kb)

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Bent, M.A. (2023). Congenital Talipes Equinovarus (Clubfoot). In: Sarwark, J.F., Carl, R.L. (eds) Orthopaedics for the Newborn and Young Child. Springer, Cham. https://doi.org/10.1007/978-3-031-11136-5_5

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  • DOI: https://doi.org/10.1007/978-3-031-11136-5_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-11135-8

  • Online ISBN: 978-3-031-11136-5

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