What is it? : Known as CONGENITAL PES EQUINOVARUS DEFORMITY, the inherent crooked foot disease is the inward and downward inclination of the feet. It occurs in 1 in 1000 births and is common in boys. Today, it is an orthopedic problem that can be diagnosed in USG follow-ups during pregnancy. It can be on a single foot or both feet. If it is inherent in the family, the rate of being seen in the baby increases 2 times.
Causes : The exact reason is unknown. The cause of the deformity is the tension and shortness of the baby’s calf muscles, causing the legs turned inwards and the joint-to-bone relationship being broken. These patients should also be investigated for DDH. If the problem is unilateral, the calf on the side that is problematic is also thinner.
Treatment : It is very important to start with weekly plaster cast changes immediately after birth. Because with early treatment, the foot can be fully healed or the need for surgery can be diminished. The plaster cast position is changed every week, so that progressive improvement is achieved. The full recovery of the foot will be in 8-12 weeks. Surgeries are used in stubborn cases. After the plaster cast, the Ponseti device is put on until the age of 2 years. Checks should be continued until 15-16 years for girls and 17-18 years for boys, even though the foot takes its final shape at the end of 12 years.