Professional Documents
Culture Documents
CTEV-Hanum Maftukha A
CTEV-Hanum Maftukha A
Forefoot
Midfoot
Hindfoot
Tarsal Bones Anatomy Skeletal System Review - Anatomy And Physiology With Snow At -
Anatomy Organ(2017). http://anatomyorgan.com
Anatomy of Outer Ankle Foot.http://annahamilton.me
EPIDEMIOLOGY
Kay,Robert.2018.Clubfoot.Orthobullets.Web.
https://www.orthobullets.com/pediatrics/4062/clubfoot-congenital-talipes-equinovarus#
PATHOPHYSIOLOGY
Kay,Robert.2018.Clubfoot.Orthobullets.Web.
https://www.orthobullets.com/pediatrics/4062/clubfoot-congenital-talipes-equinovarus
PATHOLOGICAL ANATOMY
• FIXED/RIGID
Flexible or resisten
• POSTURAL OR POSITIONAL CLUBFOOT
The affected foot maybe more flexible with a condition
known as positional clubfoot. Caused by the baby’s
prenatal position in the uterus.
Cahyono, B. C. (2012). Congenital Talipes Equino Varus (CTEV). CDK-191, 39(4), 178-181.
ETIOLOGY
• Idiopathic
• Germ defect
• Otogenic theory : Form of arrested development
• Neurological disorder
• Neural tube defect
• Tighpacking in an overcrowded uterus (postural)
• Association with arthrogryposis
Kay,Robert.2018.Clubfoot.Orthobullets.Web.
Cahyono, B. C. (2012). Congenital Talipes Equino Varus (CTEV). CDK-191, 39(4), 178-181.
CLINICAL FEATURE
• The foot is both turned and twisted inward
• Ankle equinus
• Heel is inverted
• Forefoot adducted and supinated
• High medial arch
• Talus on dorsolateral surface of the foot
• Heel is small and high
• Deep creases appear posteriorly and medially
• Abnormal thin calf
• Always examined for associated disorders such as
congenital hip dislocation and spina bifida.
Apley,G.A. & Solomon,Luis.2010.Apley’s System of Orthopedics and Fractures :
Ed.9.HodderArnold UK.
X-rays
• OPERATIVE
• NON OPERATIVE
Non operative
Kay,Robert.2018.Clubfoot.Orthobullets.Web.
Cahyono, B. C. (2012). Congenital Talipes Equino Varus (CTEV). CDK-191, 39(4), 178-181.
Ponsetti’s Method
Kay,Robert.2018.Clubfoot.Orthobullets.Web.
https://www.orthobullets.com.
FRENCH METHOD
Kay,Robert.2018.Clubfoot.Orthobullets.Web.
https://www.orthobullets.com.
Clubfoot Repair Series – Normal Anatomy, procedure, Aftercare. ADAM.
http://www.adamimages.com
Complication
Nonoperative OPERATIVE
• Deformity relapse • Residual cavus
• Dynamic supination • Pes planus
• Overcorrection : rocker • Under correction
bottom defect • Intoeing gait
• Osteonecrosis talus
• Dorsal bunion
Kay,Robert.2018.Clubfoot.Orthobullets.Web.
https://www.orthobullets.com.
THANK YOU