Congenital Disorders (Club Foot)
Definition
A birth defect in which the foot is twisted out of shape or position
Causes
Risk factors
Pathophysiology
The cause of the postural deformity is the position in the utero in contrast to the true clubfoot, which has an underlying pathology. The true clubfoot is characterized by equinus ,varus, adductus and cavus. The equines deformity is present at the ankle joint , TCN joint and the forefoot.
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Genetic factors
Extrinsic factors (sodium aminopterin and oligohydramnious)
Cytogenic factors
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Multiple births such as twins or triplets.
Position of the baby in the uterus.
Oligohydramnious during pregnancy.
Signs and symptoms
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Foot deformity
Abnormality walking
Contractures
Empty heel
Surgical management
Casting surgery
Nursing management
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Protect skin intergrity
Promote acceptance of body image
Provide health education
Medical management
Stretching and casting (Ponseti method)
The Pirani scoring sysyem
Nursing Care Plan
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Parents develop realistic goals or plans for the future
Parents demonstrate how to incorporate new health regimen into lifestyle.
Parents describe measures to protect and heal the tissue ,including wound care.
Health Education
Babies don’t use their feet until they learn to stand and walk so the goal is to fix it early enough to prevent delays.