Monday, December 7, 2009

Clubfoot (Clubfeet) in Infants

Parents know immediately if their newborn has a clubfoot. Some will even know before the child is born, if an ultrasound was done during the pregnancy. A clubfoot occurs in approximately one in every 1,000 births, with boys slightly outnumbering girls. One or both feet may be affected.


Doctors still aren't certain why it happens, though it can occur in some families with previous clubfeet. In fact, your baby's chance of having a clubfoot is twice as likely if you, your spouse or your other children also have it. Less severe infant foot problems are common and are often incorrectly called clubfoot.

The appearance is unmistakable: the foot is turned to the side and it may even appear that the top of the foot is where the bottom should be. The involved foot, calf, and leg are smaller and shorter than the normal side.
It is not a painful condition. But if it is not treated, clubfoot will lead to significant discomfort and disability by the teenage years.


Nonsurgical Treatment

Treatment should begin right away to have the best chance for a successful outcome without the need for surgery. Over the past 10 to 15 years, more and more success has been achieved in correcting clubfeet without the need for surgery. A particular method of stretching and casting, known as the Ponseti method, has been responsible for this. With this method, the doctor changes the cast every week for several weeks, always stretching the foot toward the correct position. The heel cord is then released followed by one more cast for three weeks.
Once the foot has been corrected, the infant must wear a brace at night for two years to maintain the correction. This has been extremely effective but requires the parents to actively participate in the daily care by applying the braces. Without the parents' participation, the clubfoot will almost certainly recur. That's because the muscles around the foot can pull it back into the abnormal position.

The goal of this, and any treatment program, is to make your newborn's clubfoot (or feet) functional, painless and stable by the time he or she is ready to walk. (Note: Anytime your baby wears a cast, watch for changes in skin color or temperature that may indicate problems with circulation.)

Surgical Treatment

On occasion, stretching, casting and bracing are not enough to correct your baby's clubfoot. Surgery may be needed to adjust the tendons, ligaments and joints in the foot/ankle. Usually done at 9 to12 months of age, surgery corrects all of your baby's clubfoot deformities at the same time. After surgery, a cast holds the clubfoot still while it heals. It's still possible for the muscles in your child's foot to try to return to the clubfoot position, and special shoes or braces will likely be used for up to a year or more after surgery. Surgery will likely result in a stiffer foot than nonsurgical treatment, particularly as the years pass by.
Without any treatment, your child's clubfoot will result in severe functional disability. With treatment, your child should have a nearly normal foot. He or she can run and play without pain and wear normal shoes. The corrected clubfoot will still not be perfect, however. You should expect it to stay 1 to 1 1/2 sizes smaller and somewhat less mobile than the normal foot. The calf muscles in your child's clubfoot leg will also stay smaller.

Image Before and After


  1. Hi Carolyn,

    I love reading your articles. Thank you for writing about pancreatic carcinoma! You know how I have a special interest in Oncology. Perhaps you could write more about Oncology in general, or for example, breast cancer prevention. Happy holidays!

    :) Sarah N.

  2. The use of casts to correct club feet was used on me in 1945 in London, Ontario, where I was most fortunate to be treated by Dr. Angus McLaughlin, head of orthopedics at the University of Western Ontario. I was born with bilateral club feet and he had me in casts by the age of two weeks. They were changed every second week for the next two years, and I then graduated to high, lace-up boots with the outer edge of the sole built up to lift the foot and tilt it inwards. THIS part of the treatment left me slightly knock-kneed but it's not too evident now. From the age of about 2, my father performed a nightly ritual of bending the feet outwards from the ankle. This continued until about the age of 8.

    The feet are now completely flat, as both of what little arches there were collapsed in 1998. Almost overnight. The feet tire quickly and ache most of the time. In addition, the treatment left me with ankles the size of trees...actually my legs seem to just go right down to my feet without any narrowing at the ankle. Most unattractive (I call them elephant legs), but I'm walking without braces or canes or built-up boots, so I am still one of the lucky ones.

    Just wanted you to know that treatment with casts is FAR older than this website reports.

    B. Hopper, Ottawa, Ontario, Canada