It’s cost-effective and very good results can be expected with treatment.
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A substantial proportion of office Pediatric Orthopedic practice involves sifting developmental pathologies from such growth variations and treating them appropriately.
Surgery for a child can be extremely stressful for the parent. Children are influenced by the reaction of their parents, and it helps a child if the parents present a calm and positive demeanor.
Make sure you discuss all your doubts and anxieties with your surgeon and anesthetist, however trivial they may appear to be.
For example, growth plate injuries (physical injuries) are unique to growing children, and if undetected or inappropriately treated, these may heal with permanent sequelae such as deformity or length discrepancy. Similarly, developmental problems such as hip dysplasia need to be screened for in the “at risk’ babies, so that they can be identified and treated early with simple measures rather than complex interventions at a later date which will have an adverse impact on the eventual outcome.
Pathologies unique to the growing child such as Perthes’ disease, Developmental coxa vara, Slipped Upper Femoral Epiphysis, Idiopathic scoliosis need a clear understanding of the natural history of the condition, in order to identify any potential adverse clinical or radiological changes which may need early and proactive intervention.
• The top of the foot is usually twisted downward and inward, increasing the arch and turning the heel inward.
• The foot may be turned so severely that it actually looks as if it’s upside down.
• The affected leg or foot may be slightly shorter.
• The calf muscles in the affected leg are usually underdeveloped.
Despite its look, clubfoot itself doesn’t cause any discomfort or pain at the time of birth.
The most important symptom of clubfeet is the foot looking deformed and twisted like the club of the golf stick. But the child will experience discomfort and find it difficult to walk if clubfoot is not treated properly and timely. The child may find it difficult to wear shoes and participate in physical activities. Sometimes foot size of the affected side appears smaller than the normal side.
The exact cause of clubfoot is still not known (Idiopathic). Other reasons for this could be genetic, the position of the baby in the mother’s womb, neuromuscular disorders, etc. The parents must get the child screened immediately to assess his health condition and identify the exact cause of the congenital deformity. There is no correlation of clubfoot in any type of deficiency, deformity, and other ritual myths like “GRAHAN”.
Nothing can be truer than the common saying “A child is not just a little adult” when dealing with childhood bone and joint problems.
The anatomic, physiological, and metabolic features of a growing skeletal system are different from those of a mature skeletal system, and by extension, the problems which affect children’s bones and joints are different as well. Indeed, some pathology is unique to the growing child and adolescent. A general orthopedic surgeon may not have adequate expertise or experience in the optimal management of some of these unique pathologies.
This makes Pediatric Orthopedic practice (Children’s Orthopedics) a highly specialized and niche service, which provides surgical and non-surgical treatment for various musculoskeletal problems affecting children.
Clubfoot can be seen as mild or severe. Almost half of the children who have clubfoot have it in both feet. If your child has clubfoot, it will make it harder for the child to walk normally or even stand in severer cases, so doctors generally recommend starting treatment soon after birth.
Doctors can treat clubfoot without surgery in most cases but in severe cases, surgery is required with the basic treatment.