The non-surgical management of Congenital Talipes Equino Varus (CTEV) in the first year of life: An Irish perspective

SummaryThe newborn foot is a small, complex structure made up of 26 bones, divided into the hindfoot, midfoot and the forefoot. Congenital Talipes Equino Varus (CTEV) is one of the most common congenital foot deformities, with genetic and environmental factors believed to influence its development.Early and accurate diagnosis of CTEV is essential as prompt intervention leads to more successful outcomes. CTEV is diagnosed when on physical examination the deformity cannot be corrected to bring the foot into inversion and dorsiflexion. Pirani scoring is one method used in the assessment of severity. Treatment of equino-varus can be either non-surgical or surgical. The Ponseti method is a non-surgical procedure consisting of simultaneous manipulation and serial casting. The Ponseti method has recently been introduced in some specialist centres in Ireland with expertly trained nurses playing a central role. Providing a seamless quality service with satisfactory outcomes is achievable once established links with centres of excellence are supported and maintained.