What is the talips?

Taliipes is a congenital deformity that develops in the womb during the first trimester (between 8 and 12 weeks) and causes abnormal twisting ankles, heel, legs and legs. Talifes is present in one of each 1,000 births in the United States (US) and 95 percent of these incidents are known as Congided Equinovarus (CTEV) or Clubfoot . This type causes the leg to be curled in and fingers facing down.

causes. There is an unusual position of the legs between the causes of Talifes and the limited space in the womb during the fetal development, which can lead to malformated tendons, muscles and bones. In addition, there may be a lack of amniotic fluid in the bag surrounding the fetus or oligohydramnios , which can increase the pressure on the legs, which also leads to the Talifs.

While there is no convincing evidence that Talifes is hereditary, statistics indicate that there is a probability of three to four percent to develop a child one parent has this deformity. This percentage with a zvIt allows 15 percent if both parents are affected. For normal parents who have a child with this problem, there are two to five percent of the chance that their next child will have Talifs. In addition, male children are twice as likely with this condition than female children.

treatment. Talifese treatment should start immediately after birth. The aim is to restore the legs to their normal position to allow proper function and remove pain and deformity. Available treatments are:

• 1. Serial plaster and tiles
  
  This weekly Talifes treatment consists of fine manipulations to move the legs as much as possible towards the correct position and maintain this correction with the plaster. The splints are then used as a subsequent treatment. These are flexible because they can be used at different times during treatment and can be worn 24 hours a day or just at night. Shoes used with splints shouldy be straight fastened shoes with a straight middle border.

• 2. non -surgical methods
  
  There are two known non -surgical methods to treat Talifes:
  • a) Ponseti method
    
    Ponseti method, developed by Dr. Ignacio Ponseti of Iowa, begins with a series of fine manipulations and placement at the top for the first five to seven weeks. Before applying the last cast, it is cut on the heel. Then the last cast is placed for three weeks, into which the heel properly recovered.

    Then a special splint called Denis-Browne Splint is introduced. This plate is made of two top, open shoes connected by a molding, which is modified to the correct position of the legs. The splint of full -time for two to three months and then only at night for another two to four years.

  • b) French method
    
    This treatment requires daily hourly therapy with a qualified physiotherapist. It consists of a gentle stretching of the legs, the followingIt is recording to maintain their improved position. At night, the baked legs are connected to a machine that allows you to maximize continuous passive movement. For two hours each day, the tape is removed to broadcast the skin. Physical therapy continues daily for three months and the recording is interrupted as soon as the child starts walking.

• 3. Surgery
  
  The aim of surgery with Plakatomedia release is to release and extend tightened ligaments and tendons in the middle and rear of the legs. To keep the position after the operation, the legs are thrown by two weeks for six weeks and then disappeared or reinforced for the next six weeks. Surgeons usually Wait until the child is one year old, but some begin to work when it is clear that non -surgical methods cannot correct Talifes.

The risk of Talifes recurrence is up to 25 percent until the child reaches one year. Nevertheless, continuous monitoring and careful attention are required during childhood and adolescencerolling. Without any recurrence, children with Talifs will continue to lead a normal and active life.