Primary treatment of talipes equinovarus

Our primary club foot therapy consists of a combination of plaster cast man ipulation, physiotherapy and surgical correction. The initial plaster cast method of 4 to 6 weeks is followed by a functional mobilisation of the foot . The main aim being the reduction of the malpositioned talus in the ankle mortise. if there is residual deformity surgery is planned after six month. We use the Cincinnati approach with the possibility of the dorsal, medial and lateral release,enabling a correction of the hind-, mid- and forefoot. The main part of postoperative care is seen in the functional rehabilitatio n of the foot by physiotherapy, in order to achieve a cosmetic foot with go od functions. Physiotherapy is advised until the child enters school in ord er to preserve function and form into adult life. A high frequency of satis factory results can be exspected using this protocol.