Medium Term Evaluation of the Results Achieved in the Treatment of Congenital Clubfoot at Paediatric Surgery and Orthopaedic Clinic, Tîrgu Mureş

Introduction: Congenital clubfoot or talipes equinovarus is the most frequent congenital deformity of the lower extremity and we can define it as the position of the foot in varus, equines and the adduction of the forefoot.
Material and method: This study is based upon a retrospective study performed at the Paediatric Orthopaedic Surgery Clinic of Tîrgu Mureş between 2001–2010. The study group comprises a number of 153 patients. Here we present the classification, surgical and orthopaedic treatment, treatment of relapses, pre- and postoperative preparations, after care and follow-up protocol.
Results: Our group comprises 153 patients out of which 113 were male (73.85%) and 40 female (26.14%). Fifty-nine (38.56%) of them presented bilateral malformation, in 25 (16.33%) of them conventional treatment had satisfactory results, but the rest of the 128 patients (83.66%) required hospitalization in order to continue the applied conventional treatment and intervention. We detected associated anomalies in 34 of the studied patients. Out of these 128 patients we had 11 (8.59%) relapses. Post-operatory we identified recurrent syndromes in 36 patients.
Conclusions: This study proves the effectiveness of the applied surgical treatment. The weak point of the treatment protocol we followed was the conventional treatment, thus we should increase effectiveness or adopt another method of treatment.