CLUB FOOT

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CLUB FOOT

What is a club foot?
Alagafda foot is a congenital deformity of the foot and more of congenital malformations in the foot common, and so called because the foot is Alagafd Equinus status and the status of the Spirit Varus, also be rounded set foot Adduction and sometimes the curvature of Carus.
Are club foot widespread disease?
Estimated proportion of the general one for each occurrence 800-1000 live births, and males suffer more than the female rate doubled, and 50% of cases are bilateral side.
I have a child with clubfoot foot or Alagafda, what is the likelihood of children in the next pregnancy injury?
If there is a family history of a child is infected, the proportion of the risk for the next born 10%.
What are the types of foot or Alagafda clubfoot in children?
There are two types of feet Alagafda in children: Flexible Flexible, and resistance Rigid or Resistant.
What is the cause of clubfoot foot occurs when the children?
The real reasons are not known, but there are several reasons for the occurrence of a proposed foot Alagafda:
1. Extrinsic external reasons, such as
Teratogenic distorting factors such as Sodium Aminopterin.
Scarcity of liquid Caminos Oligohydraminos causing compression of the fetus and the feet.
Asphyxiating packets congenital Constriction Bands.
2. genetic reasons:
In the case of Mendelian genetics: such as dwarfism distorted Diastrophic Dwarfism, for example, and moving Bmorth autosomal recessive.
In the case of multiple factors Genetics:
Public occurrence rate of 1 per 1000 live births.
Occurrence in first-degree relatives of 2%.
Occurrence in second-degree relatives of 0.6%.
If the injury occurred when a real-footed Alagafda twins, the likelihood of injury to real twins last only 32%.
What are the symptoms and signs of clubfoot foot or foot Alagafda when the child?
Parents notes warp and Milan foot or feet after birth with an internal rotation, and the doctor Veselahz addition, other signs such as:
Following a foot Heel small and is not full, and have the touch Kmlms cheek
You can palpate the neck of the talus and brutal
Jesse medial malleolus be impossible
Be hindfoot status of decubitus, but football is the status of pronation proportion to Maka.
In severe cases we may find hallux downward (plantar inflection status) gives foot arched position.
What will he do when the doctor review it for club foot or Alagafda when the child?
The doctor will take a clinical and family inclusive story, and then will conduct a thorough examination bed to investigate the existence of any neurological disorders (forks insipid, warp articular ….. and others), and will foot examination and the child the status of parking, and note the position of the foot and in contact with the crosshead of the land and the direction forefoot and Maka, then the status of decubitus and fact-internal rotation and spirit.
Is it necessary to make radiographs of the foot clubfoot in all cases?
No, the clinical diagnosis of the foot Alagafda enough alone, and the doctor may ask some of the images in difficult situations in order to prepare for the surgery, and at follow-up treatment outcome, whether this treatment was conservative or surgical.
What is a club foot treatment in children?
Alagafda aims foot treatment in children to correct the deformity early as possible, and fully and completely as possible, and to maintain the patch until full growth.
There are two types of treatment for the feet Alagafda in children:
Agafda varus feet are correct manual maneuvering address only the sequential Baltajabir (applying splints early after birth) and must begin treatment Paljbair since the second or third day after birth.
Agafda feet varus solid resistance Taattalbb surgical treatment of this category also includes children who did not have Atsahh deformity treatment Paljbair
What is the solution in the event of failure of splints and foot surgery in the treatment of clubfoot in children?
May resort doctor orthopedic surgeons to do complex and in stages depending on the status of each child.
What are the problems that may occur as a result of repair club foot or Alagafda surgically (the seriousness of the surgery)?
Problems that may occur as a result of repair foot Alagafda surgically are infrequent (not the seriousness of the surgery) is one or more of the following:
Sepsis or infection is a rare occurrence.
Skin tension and Tmute: it is avoided to avoid tension on the skin or make multiple incisions and not setting foot status hyper corrected immediately after surgery.
The dryness and determine the extent of movement, stiffness and early warning reflects bad.
Dry snorts in the talus, the incidence rate of up to 40% when you share Liberation medial and lateral one with a time of excessive soft tissue biopsy.
The direction of the fingers inward Intoeing: is relatively common, and should be a good discrimination whether the situation arising from the medial rotation of the tibia, or the inadequacy of the lateral rotation of the following in the joint under Alqobei.
Hyper Patch: The results from biopsy interosseous ligament in the joint under Alqobei or excessive in the brutal response of the boats on the talus, or hyper-lengthening tendons ………..