Journal List > J Korean Orthop Assoc > v.27(7) > 1114417

Yoon, Jeon, Oh, Jung, Kim, and Kim: Availability of Treatment of Congenital Calcaneovalgus: Prospective control study between treated and untreated group

Abstract

Orthopaedic surgeon faces various foot deformities. Those foot deformities should be considered in two categories as true embryonic malformation (manufacturing)and postural abnormality (package deformity), the later secondary to confined intrauterine environment can be expected to improve rapidly after birth spontaneously. Congenital Calcaneovalgus is a rather common foot deformity, which presents good prognosis with simple treatment or no treatment. Treatment includes passive stretching in mild case, corrective cast or splint in some moderate and severe case. The authors assessed the availability of treatment and residual valgus deformity of congenital calcaneovalgus prospectively in unilaterally involved 45 cases (Treated: 23 cases, Untreated: 22 cases) from Feb. 1988 to June 1991. 1. Incidence of congenital calcaneovalgus was 5.6% and 32 cases were female (Lt: 25, Rt : 20). 2. NSVD were 23 cases (51%), primipara were 36 cases (78%), vertex presentation were 29 cases (64%), and 5 cases of PROM, 5 cases of CPD, 3 cases of toxemia, 2 cases of oligoamniosis, 1 case of placental anomaly were noted. 3. Foot deformity were 17 cases in marked, 23 cases in moderate, 5 cases in mild, but the severity was not related to prognosis. 4. 8 cases of 11 were associated with anomaly of mandible. 5. T-C angle of X-ray was as follows; pre-treatment: (AP 46°, Lat 44°), post-treatment: (AP 38°, Lat 42°). 6. Treated group were managed with passive stretching and short leg splint for 2-3 wks at OPD and un-treated group were recommended the passive stretching by their parents. 7. 2 cases of residual valgus deformity of heel were noted, but clinically not significant. 8. All treated & un-treated cases healed up nicely and no treatment is recommended.

TOOLS
Similar articles