Clubfoot Compensatory

Compensatory clubfoot is a congenital deformity of the foot in which the anterior part is turned outward and the posterior inward. In this case, the instep and angle of the longitudinal arch of the supporting surface of the foot are not changed. A systematic load in a deformed foot, which does not have a significant effect on its shape, causes the development of a compensatory reaction with a deviation of the normal axis of support to the outside, and the angle of inclination of the transverse arch is smoothed out. Higher sensitivity of the muscles and ligaments of the forefoot leads to their earlier maturation, and this entails shortening of the adjacent hindfoot, which begins to move forward, which, in turn, sharply limits gait. The development of compensatory clubfoot in children can be the cause of prolonged valgus or varus deviation of the axis of the foot. Subsequently, under normal growth conditions, a very characteristic clubfoot is formed. The diagnosis of clubfoot of the knee joint requires surgical intervention. After surgery to eliminate clubfoot, the legs do not stand straight on the toes. You can install a special spacer overnight until motor function is completely restored. Most often, recovery occurs after this.