Diagnosis dan Tatalaksana Congenital Talipes Equino Varus (CTEV)
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https://doi.org/10.55175/cdk.v48i1.37Kata Kunci:
Congenital talipes equino varus, kaki pengkorAbstrak
Kaki pengkor atau congenital talipes equino varus (CTEV) adalah salah satu kelainan bawaan pada kaki yang sering dijumpai pada bayi. CTEV adalah masalah umum yang terkait dengan kontraktur tendon medial kaki, tendon Achilles, kontraktur pergelangan kaki, hindfoot, dan midfoot. Kaki biasanya kecil, berada pada posisi equinus, varus, cavus, dan adduksi. Perawatan non-operatif hampir selalu merupakan metode perawatan awal untuk CTEV, terdiri dari peregangan dan gips serial menggunakan metode Ponseti. Setelah koreksi serial dengan gips, deformitas harus ditahan menggunakan foot abduction brace (FAB) untuk mencegah kekambuhan.
Clubfoot or congenital talipes equino varus (CTEV) is one of the congenital abnormalities found in newborn’s feet. CTEV is a problem associated with medial tendon contractures of the foot, Achilles tendon, ankle, hindfoot, and midfoot contractures. The feet are usually small, and in an equinus, varus, cavus, and adducted position. Non-operative treatment is almost always the initial treatment method, consisting of stretches and serial casts using the Ponseti method. After correction with serial casts, the deformity should be retained using a foot abduction brace (FAB) to prevent recurrence.
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Ebraheim NA, Thomas BJ, Fu FH, Muller B, Vyas D, Niesen M, et al. Orthopedic surgery. Schwartz's principles of surgery. 11th ed. Vol 2. New York: McGrawHill; 2019. p. 1918.
Hosseinzadeh P, Milbrandt TA. Congenital clubfoot. JBJS reviews [Internet]. 2014;2(3). Available from: https://journals.lww.com/jbjsreviews/Citation/2014/02030/Congenital_Clubfoot.3.aspx
Staheli L. Clubfoot: Ponseti management. Global HELP Organization; 2009.
Aroojis A, Pirani S, Banskota B, Banskota AK, Spiegel DA. Clubfoot etiology, pathoanatomy, basic Ponseti technique, and Ponseti in older patients. In: Global orthopedics: Caring for musculoskeletal conditions and injuries in Austere settings 2 nd ed. Cham: Springer International Publishing; 2020. p. 383-96.
Bowyer G, Uglow M. The ankle and foot. In: Apley and Solomon’s system of orthopaedics and trauma. 10th ed. Boca Raton: CRC Press; 2018. p. 614-7.
Paulsen-Miller M, Dolan LA, Stineman A, Morcuende JA. Understanding the educational needs for parents of children with clubfoot. Orthopaedic Nursing. 2011;30(4):273-8.
Chivers A, Evans P, Gray K, Gibbons P, Hennessy P, Matthews C, et al. Management of infants and children with congenital talipes equinovarus. Sydney: NSW CTEV Working Party; 2014.
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