Pes Ekinovarus (PEV)

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Pes Equinovarus (Clubfoot)

Pes Equinovarus (PEV), also known as “clubfoot”, is a congenital orthopedic disorder where the feet turn inward and downward. It occurs in 1 to 3 per 1,000 births and can be detected via ultrasound during pregnancy. Diagnosis is confirmed immediately after birth through clinical examination, allowing for early treatment.

What is Pes Equinovarus?

  • Affects bones, muscles, and tendons in the foot and ankle.
  • The most common congenital foot deformity.
  • The foot is positioned inward (varus) and the heel is elevated (equinus).
  • Possible causes include genetic factors, intrauterine positioning, and issues in muscle-tendon development.

Diagnosis

  • Ultrasound screening can detect clubfoot in the second trimester.
  • Physical examination by an orthopedic specialist confirms the diagnosis after birth.

Treatment Methods

  • Ponseti Method (Gold Standard):
    • The baby’s foot is gradually corrected with serial casting, replaced weekly.
    • Treatment typically requires 4-8 cast changes.
  • Achilles Tenotomy:
    • A minor surgical procedure to lengthen the Achilles tendon if needed.
  • Ponseti Brace:
    • Used after correction to prevent recurrence.

Parental Involvement and Follow-up

  • Regular medical check-ups are crucial.
  • Proper cast and brace care ensures successful outcomes.
  • Physical comfort and skin health monitoring are essential.
  • Children treated early can walk and run normally like their peers.

Early diagnosis and correct treatment can ensure a healthy, active future for children with Pes Equinovarus. Families should seek consultation with a pediatric orthopedic specialist if they suspect clubfoot.