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Clinical Orthopaedics and Related Research®

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01-05-2009 | Symposium: Clubfoot: Etiology and Treatment

Update on Clubfoot: Etiology and Treatment

Authors: Matthew B. Dobbs, MD, Christina A. Gurnett, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 5/2009

Abstract

Although clubfoot is one of the most common congenital abnormalities affecting the lower limb, it remains a challenge not only to understand its genetic origins but also to provide effective long-term treatment. This review provides an update on the etiology of clubfoot as well as current treatment strategies. Understanding the exact genetic etiology of clubfoot may eventually be helpful in determining both prognosis and the selection of appropriate treatment methods in individual patients. The primary treatment goal is to provide long-term correction with a foot that is fully functional and pain-free. To achieve this, a combination of approaches that applies the strengths of several methods (Ponseti method and French method) may be needed. Avoidance of extensive soft-tissue release operations in the primary treatment should be a priority, and the use of surgery for clubfoot correction should be limited to an “a la carte” mode and only after failed conservative methods.

Level of Evidence: Level V, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Title: Update on Clubfoot: Etiology and Treatment
Authors: Matthew B. Dobbs, MD
Christina A. Gurnett, MD, PhD
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 5/2009
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-009-0734-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Update on Clubfoot: Etiology and Treatment

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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