CONGENITAL TALIPES EQUINOVARUS St. Adinda Srikandi C014181053 Recident: dr. Adhika Nur Syamsul Arifin dr. Antony Evans Supervisor dr. M. Ihsan Kitta, M.Kes, Sp.OT DEFINITION The term talipes is derived from talus (Latin = ankle bone) and pes (Latin = foot), whereas equino means like “horse like” (the heel in plantar flexion), varus is bent inward. Miedzybrodzka. 2003. Congenital Talipes Equinovarus (Clubfoot): A Disorder of The Foot But Not The Hand. Anatomical Society of Great Britain and Ireland EPIDEMIOLOGY Polinesia : 6.8/1000 childbirths White race: 1.12/1000 childbirths Hispanic: 0.76/1000 childbirths Chinese: 0.39/1000 childbirths Caucasian: 1.67/1000 childbirths Malaysia: 1.3/1000 childbirths Indonesia: 21.9% of 956 childbirths(20142018) > 2 : 1 Parker, Samantha, et al. 2009. Multistate Study of The Epidemiology of Clubfoot. Birth Defects Research (Part A): Clinical and Molecular Teratology 85 Kementerian Kesehatan RI. InfoDATIN. 2018. ETIOLOGY Mechanicals factors in utero Neuromuscular defect Herediter Primary germ plasma defect Nordin, S, Aidura, Razak, WI, Faizham. 2002. Contoverse in Congenital Clubfoot: Literature Review. Malaysian Journal of Medical Sciences Vol 9 No.1 RISK FACTORS Male Smoking while in maternal period Maternal age Diabetes while in maternal period Marital parity Balasankar G, et al. 2016. Current Conservative Management And Classification Of Club Foot: A Review. Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach CLASSIFICATION o Typical Clubfoot Potitional clubfoot Delayed treated clubfoot Recurrent typical clubfoot Alternatively treated typical clubfoot o Atypical Clubfoot Rigid or resistant atypical clubfoot Syndromic clubfoot Tetralogic clubfoot Acquired clubfoot Staheli, Lynn. 2003. Clubfoot: Ponseti Management Third Edition. Global Help CLINICAL MANIFESTATION 4 Basic Deformities Cavus Adductus Varus Equinus Apley, Alan, Louis, Solomon. 2018. Apley and Solomon’s System of Orthopaedics and Trauma Tenth Edition. CRC Press: Briston CLINICAL MANIFESTATION CAVUS ADDUCTUS VARUS EQUINUS Apley, Alan, Louis, Solomon. 2018. Apley and Solomon’s System of Orthopaedics and Trauma Tenth Edition. CRC Press: Briston PIRANI SCORE Apley, Alan, Louis, Solomon. 2018. Apley and Solomon’s System of Orthopaedics and Trauma Tenth Edition. CRC Press: Briston PIRANI SCORE Apley, Alan, Louis, Solomon. 2018. Apley and Solomon’s System of Orthopaedics and Trauma Tenth Edition. CRC Press: Briston DIMEGLIO SCORE Equinus evaluation Varus evaluation Derotation evaluation Forefoot relation with hindfoot Balasankar G, et al. 2016. Current Conservative Management And Classification Of Club Foot: A Review. Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach DIMEGLIO SCORE Balasankar G, et al. 2016. Current Conservative Management And Classification Of Club Foot: A Review. Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach DIAGNOSIS Antenatal Care Head to toe examination Spine examination Neurological examination COOKE, STEPHEN, BIRENDER, BALAIN, CRONAN KERIN, NIGEL, KIELY. 2008. CLUBFOOT. CURRENT ORTHOPAEDICS: ELSEVIER Radiological Findings Apley, Alan, Louis, Solomon. 2018. Apley and Solomon’s System of Orthopaedics and Trauma Tenth Edition. CRC Press: Briston Siapkara, A, R.Duncan. 2007. Congenital Talipes Equinovarus: A Review of Current Management. Journal of Bone & Joint Surgery Vol 89-B No.8 TREATMENT CONSERVATIVE PONSETI METHOD STAHELI, LYNN. 2003. CLUBFOOT: PONSETI MANAGEMENT THIRD EDITION. GLOBAL HELP TREATMENT CONSERVATIVE PONSETI METHOD STAHELI, LYNN. 2003. CLUBFOOT: PONSETI MANAGEMENT THIRD EDITION. GLOBAL HELP TREATMENT CONSERVATIVE FRENCH METHOD Immobilization with adhesive taping to maintain the correction achieved with stretch The taping holds the foot in the corrected position but also allows some motion, unlike the casting used by Ponseti. DOBBS, MATHHEW , CHRISTINA G. 2009. UPDATE 467 NUMBER 5 ON CLUBFOOT: ETIOLOGY AND TREATMENT. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH VOMUE TREATMENT OPERATIVE Posteromedial Soft Tissue Release COOKE, STEPHEN, BIRENDER, BALAIN, CRONAN KERIN, NIGEL, KIELY. 2008. CLUBFOOT. CURRENT ORTHOPAEDICS: ELSEVIER TREATMENT OPERATIVE Plantar Release COOKE, STEPHEN, BIRENDER, BALAIN, CRONAN KERIN, NIGEL, KIELY. 2008. CLUBFOOT. CURRENT ORTHOPAEDICS: ELSEVIER COMPLICATIONS • Recurrent • Stiffness • Varus Deformity STAHELY, LYNN. 2008. FUNDAMENTAL OF PEDIATRIC ORTHOPAEDIS FOURTH EDITION. LIPPINCOTT W ILLIAMS & W ILKINS: USA THANK YOU
