The Neglected Clubfoot

Cary Fletcher

The Neglected Clubfoot

Cary Fletcher * §

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Saint Anns Bay Regional Hospital, Saint Ann,

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Abstract

The neglected clubfoot is an uncommon condition in the developed world that has not been clearly defined in the literature. The condition is more common in the developing nations as a result of lower detection rates early in life for various economic and cultural reasons. In addition to the physical, social and financial burden which often occurs, there is a psychological component that must be addressed prior to commencing orthopaedic management. When left untreated beyond walking age, the weight bearing on the side of the foot worsens the deformity in addition to the worsened contractures due to increased contractile elements in the soft tissues. Treatment traditionally started with casting utilising the Ponseti technique followed by extensive open surgery which may entail soft tissue procedures plus or minus bony correction. Bony procedures involving osteotomies often result in an obviously shortened foot and may be associated with skin necrosis, psuedoarthrosis, infection and vascular damage. These procedures are also not uncommonly associated with pain, weakness, and stiffness of the foot and ankle postoperatively.

References

24 Cites in Article

Reference Format

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Cary Fletcher. 2018. "The Neglected Clubfoot". Global Journal of Medical Research - H: Orthopedic & Musculoskeletal System GJMR-H Volume 17 (GJMR Volume 17 Issue H1).

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GJMR Volume 17 Issue H1

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Journal Specifications

Crossref Journal DOI 10.17406/gjmr

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords

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Classification

GJMR-H Classification NLMC Code: WE 883

Submission ReceivedDecember 15, 2016
Peer Review Double Blind
Handling Editor
Accepted December 31, 2016
Published January 15, 2017

Version of record

v1.2

Issue date

January 24, 2018

Language

English

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Article Matrices

Total Score: 141

Country: Jamaica

Subject: Global Journal of Medical Research

Authors: Cary Fletcher (PhD/Dr. count: 0)

View Count (all-time): 388

Total Views (Real + Logic): 860

Total Downloads (simulated): 47

Publish Date: 2017 01, Sun

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Total Views: 860

Total Downloads: 47

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