THE CONSERVATIVE TREATMENT OF CONGENITAL TALIPES EQUINOVARUS

¹ Department of Orthopaedic Surgery, State University of Iowa, Iowa City

1. Treatment of club-foot should be instituted early as possible.

2. The Denis Browne splint, alone or complemented in sonme cases by anotlmer form of conservative therapy, gives the best results, especially in patients under one year of age.

3. In cases in which the Denis Browne splint failed to obtain complete correction, or in those patients who are between one and four years of age at the beginning of treatment, wedged casts should be used.

4. In some cases of metatarsus varus, correction can be accomplished with wedged casts.

5. Under certain conditions in private practice, manipulative methods may not be the method of choice, but rather of necessity. In expert hands, good results can be obtained by the manipulative method.

6. The manipulative method can be used in patients in the older age groups.

7. Metatarsus varus can either be completely corrected or markedly improved by manipulative methods.

8. Correction must be maintained for a considerable period of time, preferably as described.

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