But a clubfoot that isn't corrected can cause physical and emotional problems. The added advantage of shoes attached to a bar, as opposed to a fixed splint, is that it allows motion of the feet, ankles and knees. The most important relapses occur in the hindfoot, first in the equinus, and then in the heel varus. With our technique, most congenital clubfeet in infants are corrected within four to six weeks. Clubfoot usually is found on an ultrasound around the 20th week of club foot teen.
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Treating Older Children with Clubfoot
After the tenotomy it may be necessary to do weekly cast changes to increase the amount of dorsiflexion. This is a frequent occurrence in surgically treated clubfeet. Usually, relapses were observed from two to four months after the splints were prematurely discarded at the families' own initiative, believing that the correction was stable. It's more common in boys, and can run in families.
Thus, relapses occur swiftly in premature infants and more slowly in older club foot teen. In our experience, most relapses develop gradually and may be difficult to recognize in the early stages. But a clubfoot that isn't corrected can cause physical and emotional problems. Eighty-eight percent of the patients were compliant with the use of the foot abduction splint.
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