Management Of Congenital Talipes Equino Varus In Infants 4 Months?

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Good morning, I want to ask, since my son was born he has had some kind of bone deformity in his legs. Since birth until the age of 3 months he has been gyped, but now my child is 4 months old, this one month the legs are not gyped anymore because the doctor previously said it was time to put the shoes on, but the problem was that the shoes were expensive, my salary was not even up to the mark. buy. I think what I should do to help fix my child’s feet so that they can return to normal. R n r nThank you

1 Answer:

Hello Ms. Nie.


Thank you for the question.


CTEV or Congenital Talipes Equino Varus is a foot deformity in children. CTEV is divided into 2, namely with muscle and nerve disorders or without muscle or nerve disorders. Boys are more often affected than girls. The cause of CTEV itself is not clear. The factors suspected of having a role in the incidence of CTEV include:

oligohydramnios or lack of amniotic fluid
muscle and nerve disorders of the legs
delayed development during pregnancy
certain disease infections
vascular obstruction

The therapeutic goal of CTEV is to correct the deformed leg. The provision of CTEV therapy is divided into 2:

CTEV which can be corrected by casting or casting
CTEV that responds minimally to a cast or returns to its original shape despite initial success. In this situation the action should be done is by surgery.

Surgery takes into account the child's age, body weight, and child's health status. Before performing surgery, the doctor will conduct a medical interview, physical examination, and other additional examinations such as:

chest x-ray
blood tests for the laboratory

The doctor will also check the severity or degree of CTEV before performing surgery. After the operation is done, pay attention to the surgical wound so that it remains clean and dry, so that complete healing occurs. Healing can also take place well if:

child's nutrition is in good condition
do not suffer from other diseases such as Diabetes Mellitus, decreased immunity
do not have infection in the surgical wound

After healing requires physiotherapy consultation so that the leg can function properly and then hopefully can function normally.


It's a good idea to consult with a Pediatric Surgeon for this.


Hopefully my explanation can answer your question.


Regards,


dr. Kresnawati Wahyu Setiono

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