Variation in the size of foot and great toe in unilateral CTEV (club foot deformity)

Introduction: Congenital Talipes Equinovarus (CTEV) is one of the common foot deformities seen in new born. It has prevalence of 1 in 1000 population with male preponderance. There is lot of anatomical and functional differences between the effected foot and the normal foot. These differences include variation in size of foot, size of toes, altered vasculature of foot, muscle imbalance between the everters and invertors of foot. These differences can easily be made out if it’s a unilateral deformity as the control for comparison will be the normal foot. Materials and Methods: Present study was done at our institute with coordination with department of orthopedics, including 20 patients with unilateral CTEV. The size of the foot and toes measured after full correction of the deformity. Results: It was found that there is constant decrease in the size of effected foot which is obvious on measurement and there is considerable clinical shortening of the great toe in comparison with the second toe in Club feet. Conclusion: The results obtained in present study will help the orthopedic surgeon to look into the matter of size of foot in future as the child grows and its cosmetic and functional impact over the activity of the subject. Keywords: CTEV, Foot, Imbalance, Invertors, Size.