{Reference Type}: Journal Article
{Title}: Congenital metatarsus varus: early diagnosis and conservative treatment in 112 patients.
{Author}: Rocca G;De Venuto A;Colasanto G;Zielli SO;Mazzotti A;Faldini C;
{Journal}: Musculoskelet Surg
{Volume}: 107
{Issue}: 4
{Year}: Dec 2023 18
暂无{DOI}: 10.1007/s12306-022-00751-0
{Abstract}: <B>OBJECTIVE: </B>To describe a conservative treatment algorithm to manage Congenital Metatarsus Varus.<BR><B>BACKGROUND: </B>Congenital Metatarsus Varus is a congenital disorder with an estimated incidence of 1/1000 newborns. Despite the deformity being mostly an aesthetic problem, residual and incorrect forms may be responsible for abnormal in-toe gait and shoe-wearing issues. No consensus has still been gathered regarding its correct treatment algorithm.<BR><B>METHODS: </B>Between May 2019 and September 2020, 2156 newborn patients underwent an orthopedic examination at birth. Patients affected by Congenital Metatarsus Varus were classified according to Bleck's classification as flexible, semi-flexible or non-flexible deformity. A conservative treatment algorithm was followed, based on the application of manipulations, Bebax-type braces or plaster cast. All patient were followed until the clinical resolution of the deformity. Complications were also recorded.<BR><B>RESULTS: </B>One-hundred twenty-four patients were diagnosed Congenital Metatarsus Varus, with an overall prevalence of 5/1000. One-hundred twenty-two patients presented with a flexible or semi-flexible foot deformity and were firstly treated with manipulations: 52 patients reported good results, while 70 required additional treatment with Bebax-type braces for achieving correction. Two patients presented a non-flexible deformity at birth: one required plaster cast due to a non-flexible deformity, and one patient was firstly managed with Bebax-type braces due to a severe semi-flexible deformity. Only two patients presented superficial skin ulcerations, healed within a week. Two patients were lost during the follow-up.<BR><B>CONCLUSIONS: </B>An early diagnosis allowed by an orthopedic examination in all newborns may be a valid instrument to avoid Congenital Metatarsus Varus misdiagnosis. Early treatment with manipulation and orthosis resulted in good clinical outcome, with only few complications.