Pie equinovaro congénito tratamiento y pronóstico actual

Abstract

Introduction: Congenital talipes equinovarus (CTEV), also known as clubfoot, is a complex orthopedic anomaly present at birth that affects the foot and ankle. This condition is characterized by heel inversion, forefoot adduction, and supination of the midfoot. As a result, CTEV can cause functional and aesthetic difficulties in the patient's life. Over the years, the treatment has undergone considerable evolution. In recent times, there has been an increasing focus on the Ponseti method. Objective: To describe current treatments and evaluate the most effective classification method for determining the prognosis of congenital talipes equinovarus. Methodology: This study involved a rigorous literature review focused on congenital talipes equinovarus. A comprehensive search of scientific literature was conducted in prominent databases such as PubMed, Scopus, Web of Science, and Google Scholar. Terms related to CTEV, such as "clubfoot," "talipes equinovarus," "congenital foot deformity," "Ponseti method," and "surgical treatment," were used for this purpose. Results: Based on the acquired findings, it has been deduced that the Ponseti method is the preferred and initial treatment for this disorder. This preference is based on its efficacy, safety, and long-term functional and aesthetic outcomes. The prognosis of these patients is strongly influenced by the severity of the deformity, the age at which treatment is initiated, and adherence to the treatment plan. Conclusions: Follow-up and early intervention in cases of recurrence or complications are essential to improve outcomes and ensure a functional and pain-free life for patients.