Congenital foot deformities are structural abnormalities of the foot present at birth. They may affect the bones, joints, or soft tissues, altering the shape and alignment of the foot. Some conditions improve naturally as a child grows, while others require early intervention to ensure normal walking and long-term function.
- Metatarsus Adductus: The front part of the foot curves inward; it is often flexible and usually corrects within the first year of life.
- Clubfoot (Talipes Equinovarus): The foot turns inward and downward, with the sole facing sideways; early treatment with serial casting and sometimes surgery is required.
- Calcaneovalgus Foot: The foot bends upward toward the shin due to the positioning of the bones; most cases resolve naturally, though casting may be needed.
- Congenital Vertical Talus: A rigid deformity where the foot points upward and outward; typically requires corrective casting and surgical treatment.
- Flat Foot (Pes Planus): A condition where the arch of the foot is absent or poorly developed; flexible flat feet are common in children and often improve with growth, while rigid cases may need medical evaluation.
Treatment Options
- Ponseti Method (Non-Surgical Casting): Gentle, weekly manipulation of the foot followed by casting to gradually correct alignment.
- Achilles Tendon Tenotomy: A minor procedure performed after casting to release a tight tendon and improve flexibility.
- Bracing and Orthotic Support: Custom-made braces are used to maintain correction and prevent recurrence after treatment.
- Rehabilitation and Physiotherapy: Targeted exercises to strengthen muscles, improve balance, and support healthy walking patterns.
Surgical Techniques Available
Depending on the child’s condition, pediatric orthopedic surgery at Aster Whitefield Hospital may include:
- Corrective Osteotomies: Carefully planned bone cuts and realignment to correct structural deformities.
- Soft Tissue Release Procedures: Adjustment of tight tendons or ligaments to improve joint positioning and movement.
- Growth Modulation Procedures: Techniques that guide bone growth in younger children to gradually correct alignment.
- Internal or External Fixation Devices: Use of specialized implants or frames to stabilize bones during healing.
- Post-Operative Casting and Rehabilitation: Structured recovery plans with casting and physical therapy to restore strength and mobility.
At Aster Whitefield Hospital, these advanced procedures are complemented by structured long-term follow-up care to closely track recovery and outcomes. When surgery is needed, timely intervention plays an important role in correcting alignment, improving gait, and helping children regain better overall mobility
