Improvements in the treatment of children with congenital clubfoot at an early age

Urinov J.Z, Djuraev A.M, B.N. Davlatov
2022 Zenodo  
Introduction. One of the anomalies in the development of the musculoskeletal system in children is a congenital clubfoot. According to WHO statistics, this pathology is 0.1-0.3% of per 1000 newborns. It accounts for 1.5-34.4% of diseases of the musculoskeletal system, and is in the second place after congenital dislocation of the femur. Materials and methods. For the treatment of children with congenital clubfoot, we used a wide range of treatments, including: staged plastering, achillotomy,
more » ... ctional methods (corrective massage, exercise therapy, wearing functional splints), fixing methods (bandaging, applying staged plaster bandages), physiotherapy (electrical stimulation, hydrotherapy, UHF-therapy, ultrasound, electrophoresis, etc.). Specialized treatment included: orthopedics (braces, orthopedic device). Results. Analysis of the results of treatment in different age groups showed that the main task of treatment and its success depends on the early restoration of anatomical relationships in the joint. So in children under the age of one year, early diagnosis and the use of atraumatic functional methods of therapy made it possible to achieve good results with a significant reduction in the number of plaster bandages and thereby reducing the duration of treatment in general to 2 months. Discussion. The study of the experience of treating congenital clubfoot based on our own material showed that the use of one or another method of treatment depends on the assessment of the severity of foot deformity. The chosen treatment tactics should be intensive and consistent, starting from an early period after birth, when the deformity of the foot is mobile and amenable to correction. Conclusion. In children with congenital clubfoot up to the age of three, it is advisable to carry out the minimally invasive technique of achillotomy developed by the clinic, which is easily feasible in terms of v [...]
doi:10.5281/zenodo.7335197 fatcat:ppqjsmzqlngkrk44i73ohm7dea