Touching Souls International, a nonprofit organization provides free club foot surgery for needy patients in Bangladesh. Clubfoot describes a range of foot abnormalities usually present at birth in which a baby’s foot is twisted out of shape or position. The term “clubfoot” refers to the way the foot is positioned at a sharp angle to the ankle, like the head of a golf club. Clubfoot is a common birth defect and is usually an isolated problem for an otherwise healthy newborn.
Clubfoot can be mild or severe, affecting one or both feet. Clubfoot won’t hinder a child’s development drastically until it’s time for the child to walk. At that stage, the awkward positioning of the foot may force the child to walk on the outside edge of his or her feet. More often clubfoot is caused by a combination of genetic and environmental factors that is not well understood. The condition is fairly common. It happens in 1 out of 1,000 infants and is more common in boys than girls. If someone in the family has clubfoot, then it is more likely to occur in an infant.
Clubfoot present at birth can point to further health problems because clubfoot is associated with other conditions such as spina bifida. For this reason, as soon as clubfoot is noticed, it’s important that the infant be screened for other health conditions. Clubfoot can also be the result of problems that affect the nerve, muscle, and bone systems, such as stroke or brain injury.
Treatment may involve moving the foot into the correct position and using a cast to keep it there. This is often done by an orthopedic specialist. Treatment should be started as early as possible — ideally, shortly after birth — when reshaping the foot is easiest.
Gentle stretching and recasting occurs every week to improve the position of the foot. Generally, five to 10 casts are needed. The final cast remains in place for 3 weeks. After the foot is in the correct position, a special brace is worn nearly full time for 3 months. Then it is used at night and during naps for up to 3 years. Often, a simple outpatient procedure is needed to release a tightened Achilles tendon. Some severe cases of clubfoot will require surgery if other treatments do not work, or if the problem returns. The child should be monitored by a doctor until the foot is fully grown.
On occasion, stretching, casting and bracing are not enough to correct a child’s clubfoot. Surgery may be needed to adjust the tendons, ligaments and joints in the foot/ankle. Usually done at 9 to12 months of age, surgery corrects all of a child’s clubfoot deformities at the same time. After surgery, a cast holds the clubfoot still while it heals. It’s still possible for the muscles in a child’s foot to try to return to the clubfoot position, and special shoes or braces will likely be used for up to a year or more after surgery. Surgery will likely result in a stiffer foot than nonsurgical treatment, particularly as the years pass by.
Without any treatment, a child’s clubfoot will result in severe functional disability. With surgical treatment, a child with clubfoot should have a nearly normal foot. And Touching Souls International, a nonprofit organization giving this very essential surgical treatment for disadvantaged kids in Bangladesh born with clubfoot.