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Deformity Correction & Rehabilitation Clinic

by Dr Gurcharan Lal Arora

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CTEV Cases Treated

CTEV/Clubfoot Treatment Delhi, Noida, NCR

Emergency Treatment Available : Yes

Any Age Limit : No

Follow-up Required : Yes

Digital X-ray Available: Yes

Hospitalization Required: Yes (1 Day)

Blood Sample Collection facility : Available

Physiotherapy Treatment: Yes, Required & Available (Well Equipped Physiotherapy Department)

About the Procedure: Please check the Procedure Description Box below 

Best Doctor for CTEV/Clubfoot Treatment in Delhi 

Dr. G L Arora is known as the expert in the CTEV or Clubfoot treatment in Delhi, NCR, UP and throughout India. This humble personality has been treating hundreds of CTEV patients in Delhi and in UP area. He has devoted all his life in the treatment of such deformities and he is making the children walk again. 

Dr Arora believes in adding life to the years of these children and adult cases. He is one of the most experienced surgeon (more than 30 years of experience) in Delhi for CTEV/Clubfoot or other deformity treatment in Delhi. Book an Appointment now and live a deformity-free life!

Congenital Talipes equinovarus (CTEV) or Clubfoot is a common deformity in infants. In this birth defect, the foot of the baby faces inwards. CTEV can range from mild to severe thus requiring immediate treatment. Some cases of clubfoot are treated by gentle exercises and splinting while the severe cases require surgical corrections so that the child can walk normally.


Causes of CTEV/Clubfoot


Most of the cases are idiopathic, that is without any distinct reason. The CTEV is idiopathic in the children who are otherwise normal, that is, no other neurological deficit is there in them. However, the family history, environmental factors and bad position of child’s foot in the womb make the child prone to this deformity. In early 1900s as well, the constriction of foot inside the womb was known to be the primary reason behind the clubfoot deformity. This reason has not been declined till now and the position of the child’s foot in uterus do play a role in the development of clubfoot deformity. 


Other cases who have some neurological deficits like Spina Bifida, cerebral palsy or arthrogryposis are likely to have CTEV as well. Though in those cases also, it is fully curable.


CTEV Treatment


1. Non- surgical Treatment


The most popular non-surgical or minimally invasive procedures in treating the Clubfoot is

Ponseti Method – In this treatment method, the baby’s foot is manipulated and a cast is applied. This cast is changed every week after manipulating the foot til significant improvement takes place.

After this period, some babies require the Achilles tenotomy. As mentioned in the surgical treatments of clubfoot below.


Manipulation, Taping, and Braces – Some minor CTEV cases need just the manipulative treatment and the taping is done along with braces to ensure the correction of the deformity. The exercises are taught to the mother of the baby to be performed daily. Physiotherapy is done and advised.


2. Surgical Treatment Method


Achilles Tenotomy – Achilles tenotomy includes performing a cut in the tendon above the heel(at the back of the ankle). So that the lengthening of the tendon can take place while it heals. The cast is applied in order to achieve proper healing in the corrected position. This is a very minor procedure that doesn’t even need stitches thus helping in scarless and faster healing.


Posteromedial tissue release – The severe and neglected cases of CTEV require soft tissue release in which the followed by a cast. This leads to considerable correction of the deformity. In this surgery, the soft tissues around the ankle like plantar fascia (the sole of the foot), muscles and ligaments around it are released till the neutral position is attained.


Other less common surgeries performed for clubfoot treatment are Osteotomy(shaping the bones to attain the proper alignment of the foot), anterior tibial tendon transfer (Releasing the tendon and changing its position to increase the flexibility and movement of the foot), Triple arthrodesis (three bones are fused to achieve the correction) and tallectomy (removal of one small bone, talus) etc


Question 1. When should I start the treatment of CTEV for my newborn?

Answer. The treatment can start from Day 1 but you need proper guidance about how to perform the exercise while breastfeeding your child.

Question 2. After how much time will the cast be removed after surgery?

Answer. The removal of the cast takes 4 to 6 weeks after the soft tissue reconstruction surgery.

Question 3. Will my baby have to wear special shoes all his life?

Answer. No, Your baby can lead a normal, active life once the treatment process is complete. No special shoes are required after that.

Question 4.  How much time do the Ponseti casts take?

Answer. The casts are changed every week and this lasts for about 6 to 8 weeks.

Question 5. Can the correction be done only in infants or newborns?

Answer. No, Correction can be done at any age but the deformity keeps increasing as the age increases. So it is advisable to get the clubfoot treated as soon as possible.

Question 6. What if I don’t use braces for my baby?

Answer. The deformity will not be corrected fully and the CTEV can reoccur. So it is advised to use the brace religiously for the advised time period.

Question 7. How much time does it normally take to treat a CTEV?

Answer. It depends upon the severity of the deformity but the minimum time will be about 6 weeks.

Question 8. At what age do you do the surgical correction?

Answer. The non-surgical treatments start within the days of the childbirth but the surgical correction is done only after the age of 9 months.





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