Congenital Abnormalities/Deformities of the Lower Limb

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