Congenital Abnormalities/Deformities of the Lower Limb
Congenital Abnormalities/Deformities of the Lower Limb
Congenital Abnormalities/Deformities of the Lower Limb
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Talipes Equino Equino-Varus Varus -<br />
Management<br />
• Conservative – Correction obtained and maintained by Dennis<br />
Brown splint. The splint is progressively bent to hold a greater<br />
element <strong>of</strong> correction over 77-14<br />
14 days until an over over-corrected corrected<br />
position is reached and <strong>the</strong> child is sent home in splints. Continued<br />
with manipulation over over-correction correction and reapplication <strong>of</strong> splints every<br />
2 weeks until child starts to stand at end <strong>of</strong> first year.<br />
• Alternative strategies – strappings and <strong>the</strong> use <strong>of</strong> PoP.<br />
• Once walking – splints discarded. Appropriate footwear with outer<br />
raise on heel and continued manipulation with night splints.<br />
• Management gradually abandoned with progression to normal<br />
footwear.<br />
• However, <strong>the</strong> limb may be shorter, <strong>the</strong> foot smaller and stiffer than<br />
usual and <strong>the</strong> lower tibial region may look wasted.