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Difficulty in walking with club foot - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   my son is born with clubfoot on the left leg,we used ponsetti method 2weeks after birth and splint shoes and now his leg is 1cm less than the right and the medial malleous is not palpable on the left,we are using C.T.E.V. shoes his age is now 1 year 4months kindly suggest us a second opinion.
Doctor :   hello
User :   Hello
Doctor :   give me a min please i am going thru your query
Doctor :   is the condition postural or fixed ?
User :   not fixed
Doctor :   ok
Doctor :   now there are only 2 ways which we can look in to as the next step
Doctor :   now in this case we can look into the surgical aspect of it
Doctor :   have you discussed in with the physician?
User :   Yes. the doctor asked us to use the CTEV shoes for the next 10 to 14 years.
User :   but we were worried about the leg length descrepancy and if it might effect the gait.
Doctor :   yes thats correct as we want stable growth at the moment, but i can assure you that the condition later is corrected with surgery
Doctor :   right now we want the bone to grow
Doctor :   but the prognosis is good
User :   what would be the right time to do the surgery.
Doctor :   after 5
Doctor :   In children younger than 5 years, correction can be achieved with soft-tissue procedures.
Doctor :   but its not really required
Doctor :   after 5 if the gait is affected surgery is done with excellent results
User :   ok
User :   Also, he is getting some swelling with the CTEV shoes.
Doctor :   how long you have been using the CTEV shoes now ?
User :   recently, 20 days back. we changed the size of the shoe
Doctor :   a swelling indicates not proper fitting of shoes. its alright if you can again get another pair
Doctor :   you should infact
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