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The Portland Shriners Hospital offers specialized treatment and management of clubfoot for infants, children and adolescents.

Understanding clubfoot

Clubfoot (talipes equinovarus) is a congenital condition in which one or both feet are turned inward and upward due to shortened and tight tissues (tendons) that connect leg muscles to the foot. Clubfoot is more prevalent in males and affects approximately one out of 1 000 children. Although there is no defined cause of this condition, there is a known genetic influence. Clubfoot can range from mild to serious, but in almost all cases, can be successfully treated with casting, a small surgical procedure or bracing. 

Treatment of clubfoot

The Portland Shriners Hospital staff provides specialized treatment for clubfoot by utilizing the Ponseti method, a series of casting and bracing, which allows clubfoot to be corrected without the need for major surgical reconstruction. During each week of casting, the child's affected foot is manipulated slightly to stretch the foot towards the correct position. Each week the cast is removed and the foot is repositioned and casted again, allowing for the foot to gradually re-shape to the correct position. After the casting portion is done, the patient is fitted for an orthotic device to wear full time for the next three months, and then only while sleeping for the next few years, in order to maintain and secure the correct position of the foot.

Treatment of clubfoot usually begins shortly after birth, within one to three weeks. However, older children can also be treated and have successful outcomes.

Collaborative approach to care

The Portland Shriners Hospital's pediatric orthopaedic staff works collaboratively with our onsite radiology department and prosthetics and orthotics team to provide wrap-around care to each patient. Regardless of your child's medical condition or needs, you can expect to benefit from the expertise of our team who is dedicated to the needs of your child. Shriners Hospitals for Children - Portland is designed with convenience in mind for patients and their families, offering a full range of services under one roof to ensure patients receive an optimal outcome. The medical staff members at Shriners Hospitals for Children - Portland are leaders in the fields of pediatric orthopaedics, anesthesiology, pain management and rehabilitation, so patients and families can expect to benefit from the expertise of our pediatric-trained specialists.

The medical team: