Our Orthopedic Center has pediatric orthopedic surgeons who specialize in treating congenital and acquired foot and lower limb conditions, deformities and injuries. Advanced surgical techniques are used to restore foot function and correct foot and limb deformity and deficiency.
Congenital foot defects include:
- Flat foot
- Hooked foot
- Hammer toes
- Polydactyly (extra toe)
Acquired foot injuries include:
- Nerve injuries
Evaluation & Diagnostic Care
A physical exam and review of the patient’s medical history will help the orthopedic surgeon determine if the hand condition is congenital or acquired. Orthopedic diagnostic care will ensure proper diagnosis for this congenital or acquired foot condition. Some of these tests are done in our Cherese Mari Laulhere Imaging Center. Early detection is important for successful treatment.
Treatment often begins with non-surgical methods such as manipulation, bracing and casting to correct the deformity and stiffness as early as possible. The foot is manipulated into the correct position and then placed in a brace or cast to stay in the corrected position, depending on the level of acuity. Serial casting often will help correct the deformity in newborns. If non-surgical techniques don’t correct the condition, a surgical procedure is typically performed.
Clubfoot - Ponseti Method
Our Orthopedic Center has a Clubfoot Clinic that specializes in the Ponseti Method, which is the standard for the treatment of clubfoot – a congenital foot abnormality. We are one of only a handful of hospitals offering this cutting-edge, non-surgical treatment.
- Sequential corrective casting begins at birth and continues on a weekly basis until the forefoot and midfoot are corrected.
- After corrective casting, a heel cord tenotomy is done and the remainder of the deformity is corrected with manipulation and casting.
- After two to three weeks of casting, the patient is started on a program of splinting, using a bar and shoe apparatus and physical therapy.
Surgical correction can begin on your child when casting no longer improves the condition, often as early as 3-months-of-age. Foot and lower extremity surgeries take place in the Surgical Center.