When is the right time to treat clubfoot?

Patient's question:

Newborn at 21 days, main symptoms are bilateral foot inversion, good flexibility, flexible toe movements, and good sole movements. Onset time: Congenital. Examination results: No tests have been conducted. Previous treatment history and effectiveness: No treatment has been administered. Desired assistance: Please help to determine if surgery is currently suitable or if there are other treatment options available.

Doctor's answer:

Seek medical treatment at a formal hospital; the earlier the treatment, the better the outcome. Suggestions: Congenital clubfoot is the most common pediatric foot deformity in clinical diagnosis. Its characteristics include the inward and inverted position of the forefoot, inversion of the calcaneus, plantarflexion, and contracture of the Achilles tendon presenting as a "hitchhiker's foot" deformity. The incidence rate in newborns is 1‰ to 4.5‰, with a male-to-female ratio of 2:1, and it is more common on one side than on both sides. This condition can be classified into congenital and acquired based on its cause. Congenital clubfoot can be detected immediately after birth, making the diagnosis straightforward. Acquired clubfoot is usually caused by diseases such as cerebral palsy, spina bifida, or trauma.

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