Clinico- Radiological Outcome of Idiopathic Congenital Talipes Equinovarus Following Posteromedial Soft Tissue Release

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Introduction: Idiopathic clubfoot or congenital talipesequinovarus is the most common orthopedic congenital deformity. Club foot affects roughly one in every 1000 live births, and it is bilateral in about half of the cases. The four components of a congenital club foot are cavus, adduction, varus, and equinus. The treatment's purpose is to address four abnormalities and keep them corrected so that the patient can have a functional, pain-free plantigrade foot. Aims: To identify the minimum set of outcomes that should be collected in clinical practice and reported in research related to the care of children with idiopathic congenital talipesequinovarus (CTEV). Materials and Methods: The present study was an Observational study. This Study was conducted from 03/08/2005 to 02/08/2008 at Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences. Total 22 patients were included in this study. Result: We found a relatively low clinical outcome as compared to findings by other authors who have reported excellent or good treatment outcomes that have ranged from 81% to 85.5% and in this study 72% of the patients reported no pain, an evidence of good functional outcomes associated with posteromedial soft tissue release. Conclusion: The functional outcomes are equally good with the majority of patients reporting no pain, being able to wear shoes of their liking and having no limitation during walking or running. This is a sign of an improved life style and quality of life and correlates with good patient and caregiver satisfaction.

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