PEDIATRIC ORTHOPEDICS

Pediatric Orthopedics

Having a child in pain is stressful for the entire family. That’s why we offer same day appointments for children with acute injuries or pain from a fracture. In fact, we treat hundreds of student athletes, whose parents choose Desert Orthopedics for our expertise in pediatric orthopedic care.

We also treat congenital orthopedic disease and deformities, providing the very best care for the child and support for the whole family.

Dr. Michael Ryan and Dr. Ari Amitai are Central Oregon’s only fellowship-trained pediatric orthopedic surgeons, allowing us to provide the highest standard of medical care for children, right here at home.

Pediatric Congenital Conditions

Syndactyly
Thumb Duplication
Failure of Formation
Hypoplastic Thumb
Radial Club Hand
Constriction Bands
Obstetrical Palsies
Vascular Anomalies

Clubfoot is a Treatable Condition

A clubfoot occurs in approximately one in every 1000 births, with boys slightly outnumbering girls. One or both feet may be affected.

Without any treatment, your child’s clubfoot will result in severe functional disability. With treatment, your child should have a nearly normal foot. He or she can run and play without pain and wear normal shoes. The corrected clubfoot will still not be perfect, however. You should expect it to stay 1 to 1 1/2 sizes smaller and somewhat less mobile than the normal foot. The calf muscles in your child’s clubfoot leg will also stay smaller.

Clubfoot Symptoms

The appearance is unmistakable: the foot is turned to the side and it may even appear that the top of the foot is where the bottom should be. The involved foot, calf and leg are smaller and shorter than the normal side. It is not a painful condition. But if it is not treated, clubfoot will lead to significant discomfort and disability by the teenage years.

Clubfoot Risk Factors

Doctors still aren’t certain why it happens, though it can occur in some families with previous clubfeet. In fact, your baby’s chance of having a clubfoot is twice as likely if you, your spouse or your other children also have it. Less severe infant foot problems are common and are often incorrectly called clubfoot.

Treatments for Clubfoot

Non-Surgical Treatments

Stretching and casting. Treatment should begin right away to have the best chance for a successful outcome without the need for surgery. Over the past 5 to 10 years, more and more success has been achieved in correcting clubfeet without the need for surgery. A particular method of stretching and casting, known as the Ponseti method, has been responsible for this. With this method, the doctor changes the cast every week for several weeks, always stretching the foot toward the correct position. The heel cord is then released followed by one more cast for three weeks. Once the foot has been corrected, the infant must wear a brace at night for two years to maintain the correction. This has been extremely effective but requires the parents to actively participate in the daily care by applying the braces. Without the parents’ participation, the clubfoot will almost certainly recur. That’s because the muscles around the foot can pull it back into the abnormal position.

The goal of this, and any treatment program, is to make your newborn’s clubfoot (or feet) functional, painless and stable by the time he or she is ready to walk. (Note: Anytime your baby wears a cast, watch for changes in skin color or temperature that may indicate problems with circulation.)

Surgical Clubfoot Treatments

On occasion, stretching, casting and bracing is not enough to correct your baby’s clubfoot. Surgery may be needed to adjust the tendons, ligaments and joints in the foot/ankle. Usually done at 9 to12 months of age, surgery corrects all of your baby’s clubfoot deformities at the same time. After surgery, a cast holds the clubfoot still while it heals. It’s still possible for the muscles in your child’s foot to try to return to the clubfoot position, and special shoes or braces will likely be used for up to a year or more after surgery. Surgery will likely result in a stiffer foot than nonsurgical treatment, particularly as the years pass by.